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. Amlodipine is a calcium channel blocker used to manage hypertension. It is not associated with an increased risk of osteoarthritis. While hypertension itself is a health concern, amlodipine does not directly contribute to the development of OA.
B. Prednisone is a corticosteroid that can lead to various side effects, including bone loss and osteoporosis with long-term use. Although osteoporosis and OA are different conditions, long-term use of corticosteroids can potentially increase the risk of joint issues and contribute to the development or exacerbation of OA due to the impact on joint cartilage and bone density.
C. Warfarin is an anticoagulant used to prevent blood clots in atrial fibrillation. It is not directly associated with an increased risk of osteoarthritis. The primary concerns with warfarin involve bleeding risks rather than joint health.
D. Being Caucasian and having multiple children do not directly contribute to an increased risk of osteoarthritis.

A. "Many people experience an age-related decline in their hearing." B. "You will need to get hearing aids in order to function in society." C. "This is often due to an infection that will resolve on its own." D. This is likely an effect of your medications. Try stopping them for a few days."

Correct Answer is A

Explanation

A. Age-related hearing loss, also known as presbycusis, is a common condition among older adults. It typically involves a gradual decline in hearing ability due to changes in the inner ear or auditory nerve as people age. This statement acknowledges a common experience and helps normalize the patient's condition without suggesting immediate medical intervention or attributing it to something specific.
B. While hearing aids can significantly improve the quality of life for individuals with hearing loss, not all cases immediately require them. It’s important to assess the severity of hearing loss and discuss various options with the patient, including potential benefits and drawbacks of hearing aids.
C. Hearing loss that develops gradually over time is usually related to aging, not an infection. While infections can cause temporary hearing loss, age-related hearing loss is a different issue and is typically not due to an infection.
D. While some medications can cause temporary or permanent hearing loss as a side effect (a condition known as ototoxicity), it’s important to consult a healthcare provider before making any changes to medication regimens.

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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

Which of the following clients is at a higher risk of developing osteoarthritis?

Correct Answer is B

Explanation

The nurse is providing care for a geriatric patient with loss of hearing acuity over the past several years. Which statement by the nurse is most accurate?

Correct Answer is A

Explanation

A female client with systemic lupus erythematosus (SLE) asks the nurse about pregnancy and lupus. Which information should the nurse include when educating the client?

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