A nurse is teaching a client who has a new prescription for oral prednisone about minimizing the adverse effects of the medication. Which of the following statements by the client indicates an understanding of the teaching?
"I will take this medication on an empty stomach."
"I will use aspirin as needed for pain."
"I will reduce my dosage during times of stress."
"I will take a walk every day."
The Correct Answer is D
A. Prednisone should be taken with food to reduce gastrointestinal irritation.
B. Aspirin increases the risk of GI bleeding when taken with prednisone.
C. Prednisone doses should be increased, not reduced, during stress to prevent adrenal insufficiency.
D. This is the correct answer. Weight-bearing exercises like walking help reduce the risk of osteoporosis, a side effect of long-term prednisone use.
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Related Questions
Correct Answer is C
Explanation
A. A nurse should explain surgical risks to a client. – Incorrect. The provider (physician or surgeon) is responsible for explaining surgical risks, benefits, and alternatives. The nurse only verifies that informed consent was obtained and clarifies questions.
B. A client who is unable to write cannot provide informed consent. – Incorrect. A client who cannot write may provide consent verbally or with an "X" if witnessed appropriately.
C. A client can refuse a procedure after signing an informed consent form. – Correct. Clients have the right to withdraw consent at any time before the procedure is performed.
D. A client who is blind needs a guardian to provide informed consent. – Incorrect. A blind client can provide informed consent as long as they understand the procedure. The consent form can be read aloud if needed.
Correct Answer is C
Explanation
A. Weigh the client every 48 hr. – Clients with anorexia nervosa should be weighed daily at the same time to monitor for fluctuations in weight and refeeding complications.
B. Allow the client to eat meals in his room. – Clients should eat meals in a monitored dining area to prevent food hoarding, purging, or avoidance of meals.
C. Observe the client for 1 hr after meals. – This is the correct answer because clients with anorexia nervosa are at risk of purging or excessive exercise after meals. Close observation helps prevent these behaviors.
D. Obtain the client’s vital signs every other day. – Vital signs should be monitored daily or more frequently if the client is medically unstable.
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