A nurse is caring for a client who has asthma and is taking Beclomethasone. The nurse should monitor the client for which of the following adverse effects?

Hypertension

Hypoglycemia

Polyuria

Oral candidiasis

Answer and Explanation

The Correct Answer is D

A. Hypertension is not a common adverse effect of Beclomethasone, an inhaled corticosteroid. Systemic effects like hypertension are rare with inhaled forms due to minimal systemic absorption.

B. Hypoglycemia is not associated with Beclomethasone use. Corticosteroids are more likely to cause hyperglycemia, but this is uncommon with inhaled formulations.

C. Polyuria is not an expected side effect of Beclomethasone. It is more commonly associated with conditions like diabetes or diuretics.

D. Oral candidiasis (thrush) is a common adverse effect of inhaled corticosteroids like Beclomethasone. The medication can suppress local immunity in the oral mucosa, leading to fungal overgrowth. Clients should be advised to rinse their mouth after each use to reduce this risk.

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Correct Answer is D

Explanation

A. An oblique fracture occurs at an angle across the bone and is not characterized by the bone being splintered into several pieces.

B. An impacted fracture occurs when one bone fragment is driven into another, which is not the case here, as the bone is splintered into several pieces.

C. A transverse fracture occurs when the bone breaks in a straight line across the shaft. This does not match the description of the bone being splintered into multiple pieces.

D. A comminuted fracture is when the bone is broken into multiple fragments, which aligns with the description of the client’s fracture. This type of fracture is often caused by high-impact trauma and requires careful management to ensure proper healing.

A. Obtain an arterial blood gas and order a portable chest x-ray. B. Instruct the UAP to keep the client on strict bed rest. C. Assess the client for dyspnea and altered mental status. D. Contact the healthcare provider for a ventilation and perfusion scan.

Correct Answer is C

Explanation

A. Obtaining an arterial blood gas and ordering a chest x-ray may be necessary to evaluate the client further, but the nurse must first assess the client to determine the presence of clinical signs of fat embolism syndrome (FES), such as respiratory distress or neurological changes.

B. Keeping the client on strict bed rest may help reduce the risk of further complications, but it is not the first priority. Immediate assessment of the client’s condition is necessary to identify signs of fat embolism syndrome.

C. Assessing the client for dyspnea and altered mental status is the first priority because these symptoms are early indicators of fat embolism syndrome. Early recognition and intervention are critical in preventing further complications.

D. Contacting the healthcare provider for a ventilation and perfusion scan may be appropriate after assessing the client, but it is not the first action. Immediate assessment is essential to determine the urgency of the situation.

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A nurse is caring for a client who has asthma and is taking Beclomethasone. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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