The nurse is providing discharge instructions to a client with gout in the left great toe who received a prescription for prednisone 30 mg by mouth to be administered each day. Which symptom should the nurse explain is most important for the client to report to the healthcare provider?
Gastric Irritation.
Moon facies.
Abdominal striae.
Rapid weight gain.
The Correct Answer is D
A. Gastric Irritation.
While gastric irritation is a common side effect of prednisone, it is not as critical as some other potential adverse effects and can often be managed with medication or dietary changes.
B. Moon facies.
Moon facies is a sign of Cushing's syndrome, a potential long-term side effect of prednisone, but it does not require immediate reporting compared to more acute symptoms.
C. Abdominal striae.
Abdominal striae (stretch marks) are a long-term side effect of corticosteroids like prednisone, but they are not typically an urgent concern.
D. Rapid weight gain.
This is the correct answer because rapid weight gain can indicate fluid retention, which may be a sign of more serious side effects such as heart failure or severe hypertension. It requires prompt medical attention to prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Instruct the UAP to notify the nurse of any changes in the client's respiratory status. While important, this does not address the immediate issue of appropriate personal protective equipment (PPE).
B. Remind the UAP to apply a fitted respirator mask before entering the client's room. A fitted respirator mask is not necessary for influenza, which typically requires droplet precautions, not airborne precautions.
C. Review the need for the UAP to wear a face mask while in close contact with the client.
Influenza is spread through respiratory droplets, so a face mask is necessary for close contact to prevent transmission.
D. Assign the UAP to provide care for another client and assume full care of the client. This is not necessary if the UAP is appropriately trained and reminded to use the correct PPE.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
Explanation
A. Functional Improvement: This is crucial to assess because it indicates the effectiveness of the interventions implemented, such as physical and occupational therapy, and the overall progress of the client in regaining independence in activities of daily living. Tracking functional improvements helps determine if the client's physical abilities, mobility, and self- care skills are improving over time, which is essential for their overall well-being and quality of life.
B. Psychological Assessment: This aspect is important to evaluate because it helps gauge the client's mental and emotional well-being. Elderly individuals who are subjected to neglect or mistreatment, as in this case, may experience psychological distress, such as depression, anxiety, or feelings of helplessness. Monitoring the client's psychological status allows the nurse to identify any signs of emotional distress or trauma resulting from their situation, enabling appropriate interventions to support their mental health and emotional stability.
Additionally, assessing the caregiver's psychological well-being is also crucial as they may experience stress, burnout, or emotional strain from the caregiving responsibilities, which can impact the quality of care provided to the client.
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