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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
This is because prednisolone can cause insomnia if taken later in the day, and it mimics the natural secretion of cortisol by the adrenal glands, which peaks in the morning.
Choice A is wrong because splitting the dose into two equal doses can increase the risk of adrenal suppression and reduce the efficacy of alternate-day therapy (ADT), which is used to minimize adverse effects of corticosteroids.
Choice B is wrong because taking prednisolone before bedtime can interfere with sleep and cause nocturnal cortisol secretion, which can lead to Cushing syndrome.
Choice C is wrong because taking prednisolone 1 hour before meals can cause gastric irritation and ulceration, and it is recommended to take it with food or milk.
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