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 B
Explanation
The nurse should monitor the client for fever as an indication that the client is experiencing an acute infusion reaction to IV amphotericin
Fever is a common symptom of an infusion reaction to amphotericin
Choice A is wrong because pedal edema is not a commonly reported symptom of an acute infusion reaction to amphotericin
Choice C is wrong because hyperglycemia is not a commonly reported symptom of an acute infusion reaction to amphotericin
Choice D is wrong because dry cough is not a commonly reported symptom of an acute infusion reaction to amphotericin
Correct Answer is A
Explanation
Cyclosporine is an immunosuppressant medication that can have nephrotoxic effects.
A creatinine level of.5 mg/dL is above the normal range and may indicate impaired kidney function.
The nurse should report this value to the provider for further evaluation.
Choice B is wrong because Potassium 4.2 mEq/L, is not the correct answer because it falls within the normal range for potassium levels in the blood.
Choice C is wrong because BUN 18 mg/dL, is not the correct answer because it falls within the normal range for blood urea nitrogen levels.
Choice D is wrong because Sodium 139 mEq/L, is not the correct answer because it falls within the normal range for sodium levels in the blood.
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