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 D
Explanation
The nurse should monitor the client for hypokalemia as an adverse effect of hydrochlorothiazide.
Hypokalemia refers to a low level of potassium in the blood.
Choice A is wrong because hypermagnesemia is not a commonly reported adverse effect of hydrochlorothiazide.
Choice B is wrong because hypernatremia is not a commonly reported adverse effect of hydrochlorothiazide.
Choice C is wrong because hypocalcemia is not a commonly reported adverse effect of hydrochlorothiazide.
Correct Answer is C
Explanation
The nurse who identifies the error is responsible for completing an incident report.
Initial reports often come from the frontline personnel directly involved in an event or the actions leading up to it.
Choice A is wrong because the charge nurse is not necessarily responsible for completing an incident report.
Choice B is wrong because the quality improvement committee is not responsible for completing an incident report.
Choice D is wrong because the nurse who caused the error may not be aware of it and therefore may not be responsible for completing an incident report.
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