A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

Monitor for compression fractures of the back and neck.

Glucocorticoids will boost immunity.

Plan to check blood glucose levels for hypoglycemia once each year.

Limit the intake of calcium rich foods while taking the medication.

Answer and Explanation

The Correct Answer is A

A. Monitor for compression fractures of the back and neck: Long-term use of glucocorticoids increases the risk of osteoporosis, leading to compression fractures. Monitoring for these complications is critical for early intervention.

B. Glucocorticoids will boost immunity: Glucocorticoids suppress immune function, increasing susceptibility to infections. This statement is incorrect.

C. Plan to check blood glucose levels for hypoglycemia once each year: Glucocorticoids often cause hyperglycemia, not hypoglycemia, necessitating frequent monitoring, especially in individuals at risk of diabetes.

D. Limit the intake of calcium-rich foods while taking the medication: Calcium-rich foods are encouraged to mitigate the risk of glucocorticoid-induced osteoporosis, making this advice inappropriate.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Palpitations: Palpitations are associated with hyperthyroidism, not hypothyroidism.

B. Diaphoresis: Excessive sweating (diaphoresis) is a symptom of hyperthyroidism.

C. Weight gain: Hypothyroidism slows the metabolic rate, leading to weight gain.

D. Protruding eyeballs: Protruding eyeballs (exophthalmos) are a sign of Graves' disease, associated with hyperthyroidism.

A. Clammy B. Tachycardia C. Blurry Vision D. Dry Skin E. Warm/Hot Skin

Correct Answer is ["A","B","C"]

Explanation

A. Clammy: Hypoglycemia often causes diaphoresis, resulting in clammy skin.

B. Tachycardia: The release of epinephrine in response to hypoglycemia leads to tachycardia.

C. Blurry Vision: Neuroglycopenia from insufficient glucose to the brain can result in visual disturbances like blurry vision.

D. Dry Skin: Dry skin is more indicative of hyperglycemia or dehydration, not hypoglycemia.

E. Warm/Hot Skin: Warm or hot skin is associated with fever or hyperglycemia, not hypoglycemia.

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A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

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