A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The nurse will ask the provider to order which of these laboratory tests?

Vitamin D levels

Liver function tests

Serum electrolytes

Tuberculin skin test

Answer and Explanation

The Correct Answer is B

a) Vitamin D levels may be affected by long-term glucocorticoid use, but the described symptoms are more indicative of potential glucocorticoid-related side effects, such as Cushingoid features, which warrant liver function tests.

b) Liver function tests are appropriate to assess the impact of long-term glucocorticoid use on the liver, as these medications can affect liver function.

c) Serum electrolytes are important to monitor, but the specific symptoms mentioned (full cheeks, hump of fat) are not typically associated with electrolyte imbalances.

d) A tuberculin skin test is unrelated to the observed symptoms and is not typically ordered based on the physical features described.

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Correct Answer is A

Explanation

A) Antibiotics can interact with warfarin, potentially affecting the INR, so dose adjustments may be necessary.

B) Pink urine is not an expected side effect of warfarin; this statement is inaccurate.

C) Eating spinach to increase iron count is not a relevant action related to warfarin or INR levels.

D) Warfarin interacts with many substances, including herbal remedies and aspirin. Notifying the provider before taking new medications or supplements is crucial for proper management.

A. "I will rise slowly from lying to sitting, to standing." B. "I will elevate my legs if edema occurs." C. "I will take the medication with grapefruit juice.” D. "I can limit my risk for constipation by increasing fluid and fiber."

Correct Answer is C

Explanation

a) Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.

b) Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.

c) Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.

d) Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.

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A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The nurse will ask the provider to order which of these laboratory tests?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by a client indicates an understanding of self-care precautions when taking warfarin?

Correct Answer is A

Explanation

Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?

Correct Answer is C

Explanation

A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

To prevent yellow or brown discoloration of teeth, tetracycline use should be avoided in which of the following clients?

The nurse is caring for a client who has an order for no food or drink by mouth and is receiving intravenous acyclovir. To prevent nephrotoxicity, what is the nurse's action?

Which of these findings, from a client taking steroids, should the nurse report immediately?

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