A nurse is caring for a client who is receiving prednisone on a long-term basis to treat inflammatory bowel disease.
Which of the following actions should the nurse take?
Instruct the client to obtain annual immunizations.
Monitor the client for hypotension.
Monitor the client frequently for episodes of hypoglycemia.
Instruct the client to consume a diet high in calcium.
The Correct Answer is D
Long-term use of prednisone can lead to a decrease in bone density and an increased risk of osteoporosis.
Consuming a diet high in calcium can help to maintain bone health and reduce the risk of osteoporosis.
Choice A is wrong because while it is important for individuals taking prednisone to receive immunizations, they should not receive live vaccines due to the immunosuppressive effects of prednisone.
Choice B is wrong because prednisone can cause hypertension, not hypotension.
Choice C is wrong because prednisone can cause hyperglycemia, not hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation

Methimazole is a medication used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone.
Bradycardia, or a slow heart rate, can be a sign that the client’s thyroid hormone levels have become too low, indicating that the dose of methimazole may need to be decreased.
Choice A is wrong because Exophthalmos, is not an indication for a lower dose of methimazole as it is a symptom of Graves’ disease itself and not related to the medication.
Choice B is wrong because Diaphoresis, or excessive sweating, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.
Choice D is wrong because Weight loss, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.
Correct Answer is B
Explanation
Compare the current and newly prescribed medications and note any discrepancies.
During medication reconciliation, the nurse should compare the client’s current medication orders with the medications that the client has been taking and note any discrepancies.
Choice A is wrong because Reviewing the adverse effects of the medication with the client, is not part of medication reconciliation.
Choice C is wrong because Sending a list of the prescribed medications to the client’s pharmacy, is not part of medication reconciliation.
Choice D is wrong because Including the medications the client received during surgery on the client’s medication list, is not part of medication reconciliation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
