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 A

Explanation

This is because somatropin is a growth hormone that can cause slipped capital femoral epiphysis, a condition where the head of the femur slips off the neck of the bone and causes severe pain and disability. The prescriber should be notified immediately if this occurs.

Choice B is wrong because upper respiratory infection lasting more than 6 days is not a serious adverse effect of somatropin and does not require immediate attention from the prescriber.

Choice C is wrong because dry skin accompanied by pruritus is not a common or serious side effect of somatropin and may be due to other causes.

Choice D is wrong because nosebleeds are not a common or serious side effect of somatropin and may be due to other causes.

Normal ranges for growth hormone levels are 0.4 to 10 ng/mL for males and 1 to 14 ng/mL for females.

A. A client who has been diagnosed with gestational diabetes. B. A client with type 2 diabetes, controlled with oral antidiabetic agents, who has a systemic infection. C. A client whose type 2 diabetes is controlled by diet and exercise. D. A client who has been living with type 1 diabetes for 20 years.

Correct Answer is C

Explanation

The nurse should question the administration of human insulin to this client because they do not need exogenous insulin to maintain normal blood glucose levels. Human insulin is indicated for clients who have type 1 diabetes or type 2 diabetes that cannot be controlled by oral antidiabetic agents, diet, or exercise.

Choice A is wrong because a client who has been diagnosed with gestational diabetes may need human insulin to control their blood glucose levels during pregnancy, as oral antidiabetic agents are contraindicated.

Choice B is wrong because a client with type 2 diabetes, controlled with oral antidiabetic agents, who has a systemic infection may need human insulin to manage their blood glucose levels during periods of stress, as infection can increase blood glucose levels and impair the action of oral antidiabetic agents.

Choice D is wrong because a client who has been living with type 1 diabetes for 20 years needs human insulin to replace the endogenous insulin that their pancreas cannot produce.

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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

When providing client teaching to the family of a 12-year-old child receiving somatropin, the nurse stresses the need to notify prescriber if what manifestation occurs?

Correct Answer is A

Explanation

With what client should the nurse question the administration of human insulin?

Correct Answer is C

Explanation

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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?