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 ["1"]
Explanation
To solve this problem, we first need to convert the client’s weight from pounds to kilograms. Then, we can calculate the total amount of amikacin needed. Finally, we can find out how many milliliters of amikacin injection the nurse should administer.
- Convert the client’s weight to kilograms: Given that 1 kg = 2.2 lbs, we can calculate the client’s weight in kilograms as follows:
Weightinkg=WeightinlbsConversionfactor=110lbs2.2lbs/kg≈50kgWeightinkg=ConversionfactorWeightinlbs=2.2lbs/kg110lbs≈50kg
- Calculate the total amount of amikacin needed: The doctor ordered 5 mg of amikacin per kg of body weight, so the total amount of amikacin needed is:
Totalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mgTotalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mg
- Find out how many milliliters of amikacin injection the nurse should administer: Given that the available amikacin injection is 250 mg/mL, we can calculate the volume of injection needed as follows:
Volumeofinjection=TotalamikacinConcentrationofinjection=250mg250mg/mL=1mLVolumeofinjection=ConcentrationofinjectionTotalamikacin=250mg/mL250mg=1mL
So, the nurse should administer 1 mL of amikacin injection.
Correct Answer is C
Explanation
Choice A rationale:
The first dose of the varicella vaccine is usually given when the child is between 12 to 15 months old, not after 3 years.
Choice B rationale:
Aspirin should not be given to children due to the risk of Reye’s syndrome. This syndrome is a rare but serious condition that causes swelling in the liver and brain.
Choice C rationale:
The varicella vaccine should be avoided in children who have leukemia or any other condition that weakens the immune system.
Choice D rationale:
The varicella vaccine is not contraindicated for children who are allergic to eggs. It’s some other vaccines like influenza that have this restriction.
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