A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?

Decreases inflammation

Increases bone density

Reduces risk of infection

Improves peripheral blood flow

Answer and Explanation

The Correct Answer is A

Choice A reason: Decreases inflammation is a therapeutic effect of prednisone. Prednisone is a corticosteroid that suppresses the immune system and reduces the production of inflammatory mediators. This helps to relieve the pain, swelling, and stiffness of rheumatoid arthritis.

Choice B reason: Increases bone density is not a therapeutic effect of prednisone. Prednisone can cause bone loss and osteoporosis by decreasing calcium absorption and increasing calcium excretion. This increases the risk of fractures and bone damage.

Choice C reason: Reduces risk of infection is not a therapeutic effect of prednisone. Prednisone can increase the risk of infection by weakening the immune system and making it less able to fight off pathogens. This requires close monitoring and prophylactic antibiotics.

Choice D reason: Improves peripheral blood flow is not a therapeutic effect of prednisone. Prednisone can impair peripheral blood flow by causing vasoconstriction and increasing blood pressure. This can worsen the symptoms of peripheral vascular disease and increase the risk of thrombosis.

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Correct Answer is C

Explanation

Choice A reason: Increased intestinal peristalsis is not an effect of adrenergic agonist drugs, but rather of cholinergic drugs, which stimulate the parasympathetic nervous system. Adrenergic agonist drugs activate the sympathetic nervous system, which decreases intestinal motility.

Choice B reason: Bronchial constriction is also not an effect of adrenergic agonist drugs, but rather of cholinergic drugs, which cause bronchoconstriction and increased secretions. Adrenergic agonist drugs cause bronchodilation and decreased secretions.

Choice C reason: Increased heart rate is an effect of adrenergic agonist drugs, which stimulate the beta-1 receptors in the heart, causing increased cardiac output and blood pressure. This is why adrenergic agonist drugs are used to treat conditions such as shock, cardiac arrest, and heart failure.

Choice D reason: Constricted pupils is not an effect of adrenergic agonist drugs, but rather of cholinergic drugs, which cause miosis or pupil constriction. Adrenergic agonist drugs cause mydriasis or pupil dilation.

A. The patient needs to be warned that alopecia is a common adverse effect. B. It is given by deep intramuscular injection to avoid tissue irritation. C. It must not be handled by pregnant women. D. It must be taken on an empty stomach.

Correct Answer is C

Explanation

Choice A reason: This is incorrect because alopecia is not a common or serious adverse effect of finasteride. However, the patient should be informed that finasteride may cause decreased hair growth or loss of hair in some cases.

Choice B reason: This is incorrect because finasteride is not given by injection, but by oral route. The patient should take one tablet daily with or without food.

Choice C reason: This is correct because finasteride can cause birth defects in male fetuses if it is absorbed through the skin or ingested by pregnant women. The patient should wear gloves when handling the tablets and avoid contact with crushed or broken tablets.

Choice D reason: This is incorrect because finasteride can be taken with or without food. However, the patient should take it at the same time each day and follow the provider's instructions.

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A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?

Correct Answer is C

Explanation

During the administration of finasteride, the nurse must remember which important precaution?

Correct Answer is C

Explanation

A patient is taking guaifenesin as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching?

A nurse is teaching a client who is to begin taking tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

A woman visits a health center requesting oral contraceptives. Which laboratory test is most important for the nurse to assess before the patient begins oral contraceptive therapy?

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