A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?

Liver toxicity

Hemolytic anemia

Hypoglycemia

Bone loss

Answer and Explanation

The Correct Answer is D

A. Liver toxicity: Prednisone is metabolized by the liver but is not commonly associated with hepatotoxicity. Liver function monitoring is not a primary concern for long-term prednisone therapy.

B. Hemolytic anemia: Prednisone does not typically cause hemolytic anemia. Its primary hematologic effects involve immunosuppression rather than direct destruction of red blood cells.

C. Hypoglycemia: Prednisone can increase blood glucose levels by promoting gluconeogenesis and reducing peripheral glucose uptake, which may lead to hyperglycemia rather than hypoglycemia.

D. Bone loss: Long-term use of prednisone decreases calcium absorption and bone formation, increasing the risk of osteoporosis and fractures. Monitoring bone density and implementing preventive measures is essential for clients on chronic corticosteroid therapy.

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Correct Answer is C

Explanation

A. Temperature: Nifedipine does not directly affect body temperature, so assessing temperature is not critical prior to administration.

B. Respiratory rate: While monitoring respiratory status is important in general, nifedipine primarily affects the cardiovascular system, so respiratory rate is not the primary assessment focus.

C. Blood pressure: Nifedipine is a calcium channel blocker that lowers blood pressure by relaxing vascular smooth muscle. Assessing blood pressure before administration ensures the client is not hypotensive and helps prevent adverse cardiovascular effects.

D. Oxygen saturation: Oxygen saturation is not directly impacted by nifedipine, so it is not essential to assess this parameter prior to giving the medication.

A. Visual disturbances B. Pressure in the chest C. Phonophobia D. Numbness of the tongue

Correct Answer is B

Explanation

A. Visual disturbances: Visual changes can occur as part of a migraine aura, but they are not typically an adverse effect caused by sumatriptan itself.

B. Pressure in the chest: Sumatriptan can cause vasoconstriction, leading to chest pressure or tightness. This cardiovascular effect is a known adverse reaction and should be assessed carefully to rule out serious complications.

C. Phonophobia: Sensitivity to sound is a symptom of migraines, not a side effect of sumatriptan. It reflects the underlying condition rather than medication-related adverse effects.

D. Numbness of the tongue: Tingling or paresthesia can occur in some clients, but numbness of the tongue is less common and not a primary adverse effect of sumatriptan compared with cardiovascular symptoms.

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A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

Correct Answer is C

Explanation

A nurse is evaluating a client who received subcutaneous sumatriptan 1 hour ago. Which of the following findings should the nurse identify as an adverse effect of the medication?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for cromolyn. Which of the following information should the nurse include in the teaching?

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