A nurse is providing client education to a client who has had corticosteroids prescribed.
What drug should the nurse teach the client to avoid while taking the corticosteroids?

Dimenhydrinate.

Aspirin.

Ibuprofen.

Famotidine.

Answer and Explanation

The Correct Answer is B

The client should avoid taking aspirin while taking corticosteroids because of the potential drug-drug interaction between them. This interaction may cause a reduction in the blood levels of aspirin and decrease its effectiveness. It may also increase the risk of gastrointestinal side effects such as inflammation, bleeding, ulceration, and perforation.

Choice A is wrong because dimenhydrinate is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness.

It does not have a significant interaction with corticosteroids.

Choice C is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used to relieve pain, inflammation, and fever.

It has a similar interaction with corticosteroids as aspirin, but it is less potent and less likely to cause bleeding.

Choice D is wrong because famotidine is a histamine-2 receptor antagonist that is used to treat and prevent ulcers, gastroesophageal reflux disease (GERD), and other conditions that cause excess stomach acid.

It does not have a significant interaction with corticosteroids.

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Correct Answer is D

Explanation

Oxygen cannot diffuse rapidly across the membrane to tissues in the eye. Diabetic retinopathy is caused by damage to the blood vessels of the retina, which is the light-sensitive tissue at the back of the eye. This damage can reduce the oxygen supply to the retina and lead to vision problems.

Choice A is wrong because cells in the eye can reproduce normally, but they may not function properly due to high blood sugar levels or lack of oxygen.

Choice B is wrong because diabetic retinopathy does not affect the production of aqueous humor, which is the fluid that fills the front part of the eye.

However, diabetes can cause another eye condition called glaucoma, which is caused by increased pressure from too much aqueous humor.

Choice C is wrong because diabetic retinopathy does not affect the nerve innervations throughout the eye.

However, diabetes can cause another eye condition called diabetic neuropathy, which is caused by damage to the nerves that control eye movement and pupil dilation.

A. Number of times client’s family reports the client is nauseated. B. How well the client is eating. C. Color and amount of vomit, and frequency of vomiting episodes. D. Client’s nutritional status and fluid balance.

Correct Answer is C

Explanation

The nurse would assess these factors to determine the need for therapy. Some possible explanations for the other choices are:

Choice A. Number of times client’s family reports the client is nauseated.

This is not a reliable indicator of the severity or cause of nausea and vomiting.

The nurse should assess the client directly and not rely on the family’s reports.

Choice B. How well the client is eating.

This is not a specific or objective measure of nausea and vomiting.

The client may have other reasons for not eating well, such as loss of appetite, taste changes, or pain.

The nurse should also monitor the client’s weight, hydration status, and electrolyte levels.

Choice D. Client’s nutritional status and fluid balance.

These are important aspects of the client’s overall health, but they are not directly related to nausea and vomiting.

The nurse should assess these factors as part of the comprehensive care plan, but they are not sufficient to determine the need for therapy.

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A nurse is providing client education to a client who has had corticosteroids prescribed. What drug should the nurse teach the client to avoid while taking the corticosteroids?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

Correct Answer is D

Explanation

A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

Correct Answer is C

Explanation

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A nurse is providing client education to a client who has had corticosteroids prescribed.
What drug should the nurse teach the client to avoid while taking the corticosteroids?