The home health nurse provides client teaching to a client who is taking oral prednisolone.
The nurse provides what instruction to the client?

“Split the dose into two equal doses.”.

“Take before bedtime.”.

“Take 1 hour before meals.”.

“Take it first thing in the morning.”.

Answer and Explanation

The Correct Answer is D

This is because prednisolone can cause insomnia if taken later in the day, and it mimics the natural secretion of cortisol by the adrenal glands, which peaks in the morning.

Choice A is wrong because splitting the dose into two equal doses can increase the risk of adrenal suppression and reduce the efficacy of alternate-day therapy (ADT), which is used to minimize adverse effects of corticosteroids.

Choice B is wrong because taking prednisolone before bedtime can interfere with sleep and cause nocturnal cortisol secretion, which can lead to Cushing syndrome.

Choice C is wrong because taking prednisolone 1 hour before meals can cause gastric irritation and ulceration, and it is recommended to take it with food or milk.

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Correct Answer is B

Explanation

This is because antiemetics should be given to prevent motion sickness rather than after nausea or vomiting develop. Taking the medication 30 minutes before departing allows enough time for the drug to be absorbed and reach its peak effect.

Choice A is wrong because avoiding eating or drinking for 6 hours before the trip may cause dehydration and low blood sugar, which can worsen nausea and vomiting.

It is better to eat a light meal or snack before the trip and avoid spicy, greasy, or acidic foods.

Choice C is wrong because taking two doses if relief is not achieved may cause overdose and adverse effects.

Antiemetics should be taken as prescribed and not exceeded without consulting a doctor.

Choice D is wrong because increasing fluid intake to prevent urinary retention is not relevant for motion sickness.

Urinary retention is a possible side effect of some antiemetics, such as anticholinergics, but it is not a common problem for most people.

Fluid intake should be moderate and not excessive to avoid stomach distension.

A. Levothyroxine. B. Thyroid desiccated. C. Methimazole. D. Liothyronine.

Correct Answer is A

Explanation

Levothyroxine is a synthetic form of thyroxine, the hormone that the thyroid gland normally produces.It is used to treat hypothyroidism by replacing the missing hormone and restoring the normal metabolism.

Some explanations for the other choices are:

• Choice B. Thyroid desiccated is a natural thyroid hormone derived from animal thyroid glands.

It contains both T4 and T3 hormones, which may cause side effects or complications in some people with hypothyroidism.It is not recommended as a first-line treatment for hypothyroidism.

• Choice C. Methimazole is an antithyroid drug that blocks the production of thyroid hormones.

It is used to treat hyperthyroidism, not hypothyroidism.Giving methimazole to someone with hypothyroidism would worsen their condition.

• Choice D. Liothyronine is a synthetic form of T3, the active thyroid hormone.

It is sometimes used in combination with levothyroxine to treat hypothyroidism, but it is not a standard treatment.It has a shorter half-life and more variable effects than levothyroxine, and it may increase the risk of cardiac arrhythmias or osteoporosis.

Normal ranges for thyroid function tests vary depending on the laboratory and the method used, but generally they are:

• TSH: 0.4 to 4.0 mIU/L

• Free T4: 0.8 to 2.0 ng/dL

• Free T3: 2.3 to 4.2 pg/mL

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The home health nurse provides client teaching to a client who is taking oral prednisolone. The nurse provides what instruction to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is prone to motion sickness is going on a fishing trip on a boat and has been prescribed an antiemetic. What action should the nurse recommend?

Correct Answer is B

Explanation

The nurse is caring for a client with hypothyroidism who has a history of myocardial infarction and heart failure. What thyroid replacement drug would the nurse expect to be ordered?

Correct Answer is A

Explanation

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A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

What statement by a client who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective?

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What is an appropriate nursing action for a hospitalized client receiving aprepitant?

The nurse teaches the client to best promote optimal GI function by including what in the daily routine?

The home health nurse provides client teaching to a client who is taking oral prednisolone.
The nurse provides what instruction to the client?