The practical nurse (PN) notes that a client has truncal obesity, a moon face, and a buffalo hump. The PN should question the client about recent use of which type of medication?

Non-steroidal anti-inflammatory drug (NSAID).

Corticosteroids.

Thyroid replacement hormone.

Insulin.

Answer and Explanation

The Correct Answer is B

A. NSAIDs are not associated with the characteristic features of truncal obesity, moon face, and buffalo hump.
B. Corticosteroids can cause truncal obesity, moon face, and buffalo hump as side effects due to their effects on metabolism and fat distribution.
C. Thyroid replacement hormone is used to treat hypothyroidism and does not cause the symptoms described.
D. Insulin is used to manage diabetes and does not typically cause the features seen in Cushing’s syndrome associated with corticosteroid use.

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Correct Answer is C

Explanation

A. Body temperature is not directly relevant to the administration of zolpidem. Zolpidem is a sleep aid, so assessing body temperature is not necessary for this medication.
B. Bowel sounds are important for gastrointestinal assessments but are not related to the immediate considerations for zolpidem administration.
C. Assessing mental status is crucial before administering zolpidem because this medication can cause side effects like drowsiness, confusion, or impaired cognition. Ensuring the client’s mental status is appropriate helps prevent adverse effects.
D. Skin integrity is important for general health assessments but is not specifically relevant before administering a sleep aid like zolpidem.

A. Measure urinary output. B. Auscultate all lung fields. C. Check mental acuity. D. Inspect for sacral edema.

Correct Answer is B

Explanation

A. Measure urinary output.
Measuring urinary output is important for monitoring fluid balance but is not the most critical intervention for assessing left-sided heart failure specifically.
B. Auscultate all lung fields.
Auscultating lung fields is crucial for assessing signs of pulmonary edema, a key symptom of left-sided heart failure. It provides direct information about the severity of the condition and guides further management.
C. Check mental acuity.
Checking mental acuity can be useful but is not the most critical intervention for managing left-sided heart failure. It is less directly related to evaluating the severity of heart failure compared to lung auscultation.
D. Inspect for sacral edema.
Inspecting for sacral edema is more relevant for right-sided heart failure. For left-sided heart failure, the priority is evaluating pulmonary symptoms, not peripheral edema.

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The practical nurse (PN) notes that a client has truncal obesity, a moon face, and a buffalo hump. The PN should question the client about recent use of which type of medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before administering zolpidem at bedtime, which client assessment should the practical nurse (PN) complete?

Correct Answer is C

Explanation

The practical nurse (PN) is assessing an older adult client with left-sided heart failure (HF). Which intervention is most important for the PN to implement?

Correct Answer is B

Explanation

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The practical nurse (PN) notes that a client has truncal obesity, a moon face, and a buffalo hump. The PN should question the client about recent use of which type of medication?

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