A nurse is caring for an older adult 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 drug?
Liver toxicity.
Hypoglycemia.
Hemolytic anemia.
Bone loss.
The Correct Answer is D

Prednisone is a corticosteroid that can be used to treat rheumatoid arthritis and other conditions by reducing inflammation and suppressing the immune system.
However, long-term use of prednisone can cause side effects, including bone loss.
Choice A is wrong because liver toxicity is not a common side effect of prednisone.
Choice B is wrong because hypoglycemia is not a common side effect of prednisone; instead, elevated blood sugar is a possible side effect.
Choice C is wrong because hemolytic anemia is not a common side effect of prednisone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Administer the medication through a straw.

This is because ferrous sulfate elixir can stain the teeth, so using a straw can help prevent this from happening.
Choice A is wrong because milk can interfere with the absorption of iron.
Choice B is wrong because caffeine can also interfere with iron absorption.
Choice D is wrong because antacids can reduce the absorption of iron and should be avoided within 2 hours of taking ferrous sulfate.
Correct Answer is A
Explanation
Total parenteral nutrition (TPN) is a method of administration of essential nutrients to the body through a central vein.

TPN solutions are customized for each client’s needs, including the exact amount of calories and nutrients necessary for total nutritional needs.
Monitoring the client’s weight daily is important to determine if nutritional goals are being met and to assess fluid volume status.
Choice B is wrong because TPN solutions are concentrated and can cause thrombosis of peripheral veins, so they require a central venous catheter and should not be hung to gravity to infuse.
Choice C is wrong because TPN solution should not be titrated to blood pressure.
Choice D is wrong because the client’s blood glucose level should be monitored more frequently than weekly when receiving TPN.
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