Which information obtained by the nurse about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider?

Patient stopped taking the medication 2 days ago.

Patient's blood pressure is 148/94 mm Hg.

Patient has bilateral 2+ pitting ankle edema.

Patient has not been taking the prescribed vitamin D.

Answer and Explanation

The Correct Answer is B

Prednisone is a corticosteroid medication that can cause a range of side effects, including fluid retention, electrolyte imbalance, and increased blood pressure. A blood pressure reading of 148/94 mm Hg indicates hypertension, which may be related to the use of prednisone. It is essential to report this finding to the health care provider as it may require further evaluation and management, such as adjusting the medication dosage or initiating additional treatments to control blood pressure. The other information provided, such as stopping the medication, ankle edema, and not taking prescribed vitamin D, is relevant but does not pose an immediate threat to the patient's health compared to uncontrolled hypertension.

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Correct Answer is A

Explanation

This statement demonstrates an understanding of proper cast care for itch relief. Using a cool air dryer on a low setting can help circulate air and provide relief from itching under the cast. It is important not to use a hot air dryer as it may cause discomfort, skin irritation, or burn. Trickling water or inserting objects into the cast can lead to moisture accumulation and potential complications.

A. Urine output 200 mL over the last 4 hours. B. Decreasing serum albumin levels. C. Weight gain of 0.75 kg in the last 2 days. D. Sodium (Na) level 128 mEq/L.

Correct Answer is C

Explanation

Weight gain is a positive indicator of improved nutritional status. It suggests that the client is receiving adequate nutrition and their body is able to build up and retain weight. This is particularly important in the case of protein-calorie malnutrition, as it indicates that the client is receiving sufficient protein and calories to support their nutritional needs.

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Which information obtained by the nurse about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 5-year-old with an arm cast from a fractured wrist complains of itching under his cast. The nurse knows cast care teaching for the parent has been successful when the parent states:

Correct Answer is A

Explanation

A client is admitted with protein-calorie malnutrition and is receiving supplemental feedings through a naso-duodenal tube. Which assessment finding indicates that the client's nutritional status is improving?

Correct Answer is C

Explanation

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