A nurse is caring for a client who will begin a prolonged course of prednisone to treat a multiple sclerosis flare. What information should the nurse include in the education about this medication?

"This medication can cause fluid volume deficit."

"This medication can cause significant weight loss."

"This medication can cause you to retain sodium."

"This medication can cause thickening of the skin."

Answer and Explanation

The Correct Answer is C

A.   Prednisone, a corticosteroid, is more commonly associated with fluid retention rather than fluid volume deficit. Fluid volume deficit would generally be a concern with diuretics or other medications that increase urine output. Prednisone can lead to fluid retention and edema, not a deficit.
B.   Prednisone is more likely to cause weight gain rather than weight loss. Corticosteroids can increase appetite and lead to fluid retention, both of which contribute to weight gain. Significant weight loss is not a typical side effect of prednisone.
C.   Prednisone and other corticosteroids can cause sodium retention, which can lead to fluid retention and hypertension. Sodium retention is a common side effect of corticosteroids, and it contributes to the fluid retention and potential weight gain associated with these medications.
D.   Prednisone can cause thinning of the skin rather than thickening. Long-term use of corticosteroids can lead to skin thinning, increased bruising, and easy tearing of the skin. Thickening of the skin is not a common side effect of prednisone.

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Correct Answer is B

Explanation

A. This action is crucial if there is a suspicion of elder abuse, as adult protective services (APS) can investigate the situation thoroughly and take necessary measures to protect the client. However, before making such a notification, it is important to assess the immediate safety of the client and gather preliminary information.
B. This is a prudent initial action to ensure that the client is in a safe environment away from the caregiver, who may be the suspected abuser. It allows the nurse to conduct a private and thorough assessment of the client without the potential influence or intimidation from the caregiver. This step is critical for ensuring the client's safety and obtaining unbiased information.
C. While reporting to the caregiver’s employment agency may be a step in the process, it is not the immediate priority. The primary focus should be on ensuring the client’s safety and assessing the situation before contacting external agencies.
D. While it is important to gather information about how the injury occurred, the immediate priority is to ensure the client's safety and provide an opportunity for a private assessment. The presence of the caregiver during this conversation could influence the client's responses or cause additional stress.

A. Bradycardia B. Hypotension C. Hyperthermia D. Constipation

Correct Answer is C

Explanation

A. Bradycardia, or a slow heart rate, is not typically associated with thyrotoxic crisis. In fact, thyrotoxic crisis usually causes tachycardia (rapid heart rate) due to the body's heightened metabolism and sympathetic nervous system stimulation.
B. Hypotension, or low blood pressure, is not characteristic of a thyrotoxic crisis. The condition typically causes hypertension (elevated blood pressure) as part of the body's stress response and increased metabolic rate.
C. Hyperthermia, or elevated body temperature, is a key sign of thyrotoxic crisis. The condition leads to a hypermetabolic state that can significantly increase body temperature. This high fever is a result of the body's excessive heat production due to the overstimulation of metabolic processes.
D. Constipation is not typically associated with thyrotoxic crisis. In hyperthyroidism, and consequently in thyrotoxic crisis, patients usually experience diarrhea or increased bowel movements due to the increased metabolic rate and gastrointestinal motility.

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A nurse is caring for a client who will begin a prolonged course of prednisone to treat a multiple sclerosis flare. What information should the nurse include in the education about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client is brought to an urgent care clinic by her paid in-home caregiver for a suspected UTI. The client has bruising to the left side of her face and appears fearful when her caregiver makes sudden movements. Which priority action should the nurse take first?

Correct Answer is B

Explanation

A nurse is assessing a client who is 12 hours postoperative following a thyroidectomy. Which of the following findings is indicative of thyrotoxic crisis?

Correct Answer is C

Explanation

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