A client is being discharged home on oral Steroids post kidney transplant. Which of the following side effects is of most concern?
Client report of irritability
Client report of a headaches
Client report of weight loss
Client report of high blood pressure
The Correct Answer is D
A. Irritability is a common side effect of steroids but is not the most concerning.
B. Headaches can occur with steroid use, but they are not as urgent unless associated with severe symptoms.
C. Weight loss is not a common concern with steroids, as they usually cause weight gain.
D. High blood pressure is a serious side effect of steroid use and should be addressed promptly to avoid cardiovascular complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lightheadedness is a common side effect of Flomax (tamsulosin) due to its alpha-blocking effect, which can cause vasodilation and a drop in blood pressure.
B. Bradycardia is not a typical side effect of Flomax. It mainly affects alpha receptors in the prostate and bladder, not the heart rate.
C. Burning with urination is more likely to be related to a urinary tract infection (UTI) rather than Flomax.
D. Temporary loss of libido is not a common side effect of Flomax, though it may be associated with other medications like finasteride used in BPH treatment.
Correct Answer is ["C","D","E"]
Explanation
A. Initiate 0.33% sodium chloride IV bolus: This is inappropriate as it does not address hyperkalemia and may worsen fluid balance issues.
B. Administration of an ACE inhibitor: ACE inhibitors can increase potassium levels and are contraindicated in hyperkalemia.
C. Administration of sodium polystyrene sulfate (Kayexalate): This medication promotes potassium excretion through the gastrointestinal tract.
D. Place the client on a cardiac monitor: Hyperkalemia affects cardiac function, and continuous monitoring is necessary to detect arrhythmias.
E. Administration of calcium gluconate: Calcium gluconate helps stabilize the cardiac membrane, reducing the risk of arrhythmias from hyperkalemia.
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