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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should ask this question because the client is taking a chemical stimulant laxative, which can cause dehydration and electrolyte imbalance, especially in combination with medications for heart failure and osteoarthritis that may also affect fluid and electrolyte balance. The nurse should assess the client’s hydration status and risk of hypovolemia or hypotension.
Choice B. Timing of medication administration is wrong because it is not the priority question in this situation.
The nurse should ask this question later to determine if the client is taking the medications as prescribed and if there are any drug interactions or adverse effects.
Choice C. Previous effectiveness of laxatives is wrong because it is not relevant to the client’s current condition.
The nurse should ask this question later to evaluate the client’s bowel habits and history of constipation.
Choice D. The amount of fiber intake is wrong because it is not the priority question in this situation.
The nurse should ask this question later to educate the client about dietary measures to prevent constipation and promote bowel health.
Correct Answer is C
Explanation
The CTZ has to be stimulated in order for vomiting to occur. The CTZ is located in the area postrema of the medulla oblongata and receives input from various sources, such as the blood, the vestibular system, and the gastrointestinal tract.
Choice A is wrong because the limbic system involves emotion, not vomiting or other forms of GI function.
Choice B is wrong because the hypothalamus regulates various functions such as body temperature, hunger, thirst, and circadian rhythms, but not vomiting.
Choice D is wrong because the medulla oblongata is responsible for autonomic functioning such as ventilation, cardiac conduction, and vomiting, but it is not the site of stimulation for vomiting.
The medulla oblongata contains the vomiting center, which receives signals from the CTZ and other sources and initiates the act of vomiting.
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