A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma.
Which of the following information should the nurse include in the teaching?
"You must rinse your mouth out after each dose.”
"You should take this medication on an empty stomach.”
"You should take a calcium supplement while taking this medication.”
"You can expect some weight loss with this medication.” .
The Correct Answer is C
Choice A rationale:
“You must rinse your mouth out after each dose.” This is incorrect. Rinsing the mouth after each dose is usually recommended for inhaled corticosteroids, not oral prednisone.
Choice B rationale:
“You should take this medication on an empty stomach.” This is incorrect. Prednisone should be taken with food to prevent stomach upset.
Choice C rationale:
“You should take a calcium supplement while taking this medication.” This is correct because long-term use of prednisone can lead to bone loss (osteoporosis) Taking a calcium supplement can help protect bone health.
Choice D rationale:
“You can expect some weight loss with this medication.” This is incorrect. Weight gain, not weight loss, is a common side effect of long-term prednisone use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Ketorolac is a non-steroidal anti-inflammatory drug (NSAID) used for pain relief after surgery. However, it’s not typically administered every 3 hours. Overuse can lead to serious side effects.
Choice B rationale:
If the client’s pain level remains high after receiving ketorolac, administering an opioid medication like oxycodone may be appropriate.
Choice C rationale:
While acetaminophen can be used for pain relief, rectal administration is not typically the first choice for postoperative pain management.
Choice D rationale:
It’s inappropriate to label a patient as exhibiting drug-seeking behaviors simply because their reported pain level remains high after medication. Pain is subjective and should be addressed appropriately.
Correct Answer is A
Explanation
Choice A rationale:
Hoarseness of voice can be a symptom of an allergic reaction, indicating swelling and inflammation in the throat. If the client’s voice is no longer hoarse after taking diphenhydramine, it suggests that the medication has been effective in reducing this symptom.
Choice B rationale:
Diphenhydramine is an antihistamine and can often cause drowsiness as a side effect. Therefore, feeling more alert would not typically indicate that the medication has been effective.
Choice C rationale:
While headaches can sometimes be associated with allergic reactions, they are not a primary symptom that diphenhydramine targets. Therefore, absence of a headache does not necessarily indicate effectiveness of the medication.
Choice D rationale:
Increased appetite is not typically associated with the effectiveness of diphenhydramine in treating allergic reactions.
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