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 A
Explanation
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
It works by slowing down the heart rate and reducing the force of heart muscle contraction.
Therefore, it is important for the nurse to assess the client’s heart rate prior to administering this medication to ensure that it is within a safe range.
Choice B is wrong because respiratory rate is not directly affected by propranolol.
Choice C is wrong because temperature is not directly affected by propranolol.
Choice D is wrong because pain level is not directly affected by propranolol.
Correct Answer is D
Explanation
Gentamicin can harm your kidneys.
An elevated creatinine level can be a sign of kidney damage.
The nurse should report this finding to the provider immediately.
Choice A is wrong because Fasting blood glucose 130 mg/dL, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Choice B is wrong because WBC 11,000/mm3, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Choice C is wrong because Potassium 4.5 mEq/L, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
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