The nurse is caring for a client who works night shift from 22:00 to 06:00 and normally sleeps from 08:00 (8 AM) until 16:00 (4 PM) each day.
The nurse should teach this client to take the prescribed corticosteroid at what time of the day?

08:00.

22:00.

06:00.

16:00.

Answer and Explanation

The Correct Answer is C

This is because cortisol exhibits a proper 24-h circadian rhythm that affects the cardiovascular system and other organs. Cortisol levels are normally low at the beginning of sleep and high at the moment of awakening. Taking corticosteroids at this time mimics the natural cortisol rhythm and may reduce side effects such as adrenal suppression, sleep disturbances and cardiovascular complications.

Choice A is wrong because taking corticosteroids at 08:00 may not coincide with the client’s natural cortisol peak and may cause insomnia or unpleasant dreams.

Choice B is wrong because taking corticosteroids at 22:00 may disrupt the client’s sleep quality and increase the risk of nocturnal hypertension.

Choice D is wrong because taking corticosteroids at 16:00 may interfere with the client’s natural cortisol decline and cause hyperglycemia or dyslipidemia.

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Correct Answer is A

Explanation

Desmopressin Acetate - Amring Pharmaceuticals

Desmopressin is a synthetic analog of antidiuretic hormone (ADH) that acts on the kidneys to increase water reabsorption and decrease urine output. Neurogenic diabetes insipidus is a condition caused by a deficiency of ADH due to damage to the hypothalamus or pituitary gland. Patients with this condition have excessive thirst and urination, dehydration, and low urine specific gravity.

Choice B. Methylprednisolone is wrong because it is a corticosteroid that suppresses inflammation and immune response.

It is not used to treat diabetes insipidus.

Choice C. Dexamethasone is wrong because it is also a corticosteroid that has similar effects as methylprednisolone.

It is not used to treat diabetes insipidus.

Choice D. Physostigmine is wrong because it is a cholinesterase inhibitor that increases the levels of acetylcholine in the body.

It is used to treat myasthenia gravis and anticholinergic poisoning.

It has no effect on diabetes insipidus.

A. Radioactive iodine. B. Alendronate. C. Propylthiouracil. D. Methimazole.

Correct Answer is C

Explanation

Halewood Propylthiouracil Tablets BP 50mg - Made in Britain

This is an antithyroid medication that can be used safely during pregnancy, as it has a lower risk of causing birth defects or fetal hypothyroidism than other drugs. Propylthiouracil inhibits the synthesis of thyroid hormones and also blocks their conversion to the more active form.

Choice A is wrong because radioactive iodine is contraindicated during pregnancy, as it can cross the placenta and damage the fetal thyroid gland.

Radioactive iodine is used to destroy overactive thyroid cells and treat hyperthyroidism.

Choice B is wrong because alendronate is not an antithyroid medication, but a bisphosphonate that is used to treat osteoporosis and prevent bone loss.

Alendronate should not be used during pregnancy, as it may affect fetal bone development and mineralization.

Choice D is wrong because methimazole is another antithyroid medication, but it is not the drug of choice for pregnant women, as it has a higher risk of causing birth defects or fetal hypothyroidism than propylthiouracil.

Methimazole also inhibits the synthesis of thyroid hormones, but does not block their conversion to the more active form.

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The nurse is caring for a client who works night shift from 22:00 to 06:00 and normally sleeps from 08:00 (8 AM) until 16:00 (4 PM) each day. The nurse should teach this client to take the prescribed corticosteroid at what time of the day?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with neurogenic diabetes insipidus and administers what drug to treat the condition.

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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The nurse is caring for a client who works night shift from 22:00 to 06:00 and normally sleeps from 08:00 (8 AM) until 16:00 (4 PM) each day.
The nurse should teach this client to take the prescribed corticosteroid at what time of the day?