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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypernatremia: Addison’s disease causes low aldosterone levels, leading to hyponatremia rather than hypernatremia.
B. Hypotension: Addison's disease causes insufficient cortisol and aldosterone, resulting in fluid loss and low blood pressure, especially in stress or postoperative states.
C. Bradycardia: Addison’s disease does not typically affect heart rate directly, though hypotension may cause a compensatory increase in heart rate (tachycardia).
D. Hypokalemia: Addison's disease leads to hyperkalemia due to low aldosterone levels, which reduce potassium excretion by the kidneys.
Correct Answer is ["2"]
Explanation
Dose required: 275 mcg
Dose available: 137 mcg/tablet
Tablets required = 275137
= 2.007137275
=2.007
rounded to 2 tablets.
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