A client with asthma has been taking prednisone daily for two years and is now in the emergency department complaining of back pain.

An MRI of the spine shows a compression fracture of a vertebra.

Which adverse effect of prednisone is most likely associated with these findings?

Fluid retention

Osteoporosis

Adrenal insufficiency

Gastrointestinal bleeding

Answer and Explanation

The Correct Answer is B

Choice A rationale
Fluid retention is a common side effect of prednisone, but it is not directly associated with compression fractures of the vertebrae.
Choice B rationale
Long-term use of prednisone can lead to osteoporosis, a condition that weakens bones and makes them more likely to break. Osteoporosis can increase the risk of fractures, including compression fractures of the vertebrae. This is likely the adverse effect of prednisone that is most associated with the client’s findings.
Choice C rationale
Adrenal insufficiency is a potential side effect of long-term prednisone use. However, it is not directly linked to compression fractures of the vertebrae.
Choice D rationale
While gastrointestinal bleeding can occur with prednisone use, it is not directly related to compression fractures of the vertebrae.

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Correct Answer is C

Explanation

Step 1 is: The client’s finger stick blood glucose is 128, which is within the normal range, so no additional insulin is needed for blood sugar correction. The client has 4 units of insulin lispro scheduled with meals. Therefore, the nurse will administer the scheduled 4 units of insulin.

A. Drink at least 2 liters of water a day B. Take antibiotics on-time around the clock C. Eat a serving of yogurt every day D. Stop antibiotics when symptoms resolve.

Correct Answer is B

Explanation

Choice A rationale
While staying hydrated is generally good advice, drinking at least 2 liters of water a day is not specifically related to preventing antibiotic resistance.
Choice B rationale
Taking antibiotics on-time around the clock is crucial for maintaining therapeutic levels of the medication in the body. This helps to effectively kill the bacteria and prevent them from developing resistance.
Choice C rationale
Eating a serving of yogurt every day can help maintain gut health during antibiotic treatment, but it does not directly prevent antibiotic resistance.
Choice D rationale
Stopping antibiotics when symptoms resolve can actually contribute to antibiotic resistance. Even if symptoms have improved, bacteria may still be present. Stopping treatment early gives these bacteria a chance to survive and develop resistance.

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A client with asthma has been taking prednisone daily for two years and is now in the emergency department complaining of back pain. An MRI of the spine shows a compression fracture of a vertebra. Which adverse effect of prednisone is most likely associated with these findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is to administer insulin to a diabetic client. The finger stick blood glucose is 128. The client has 4 units of insulin lispro scheduled with meals in addition to the following adjustments scale. How many units of insulin will the nurse administer?

Correct Answer is C

Explanation

A patient is being discharged on a home course of antibiotics. What education should the nurse provide as an effective way to prevent antibiotic resistance?

Correct Answer is B

Explanation

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A client with asthma has been taking prednisone daily for two years and is now in the emergency department complaining of back pain.

An MRI of the spine shows a compression fracture of a vertebra.

Which adverse effect of prednisone is most likely associated with these findings?