A nurse is caring for a client who is receiving glucocorticoid therapy. The nurse should monitor the client for which of the following potential adverse effects?
Hyperkalemia
Hypotension
Hypocalcemia
Immunosuppression
The Correct Answer is D
D) Correct. Glucocorticoid therapy can suppress the immune system, increasing the client's risk of infections and delaying wound healing. The nurse should monitor the client for signs of infection and educate the client about measures to prevent infection.
A) Incorrect. Hyperkalemia is not typically associated with glucocorticoid therapy. In fact, glucocorticoids can cause hypokalemia in some cases.
B) Incorrect. Hypotension is not a common adverse effect of glucocorticoid therapy.
C) Incorrect. Glucocorticoids can cause hypercalcemia, not hypocalcemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C) Correct. Metformin is known to cause gastrointestinal upset, including symptoms such as nausea, vomiting, diarrhea, and abdominal discomfort. The client should be advised to monitor for these adverse effects and report them to the healthcare provider if they occur.
A) Incorrect. Hypoglycemia is not a common adverse effect of metformin when used as a monotherapy. However, if metformin is used in combination with other antidiabetic medications that can cause hypoglycemia, the risk may increase.
B) Incorrect. Weight gain is not typically associated with metformin. In fact, metformin may be associated with weight loss or weight stabilization in some individuals.
D) Incorrect. Bradycardia is not a known adverse effect of metformin.
Correct Answer is A
Explanation
A) Correct. Insulin lispro is a rapid-acting insulin with a rapid onset of action, typically within 15 minutes, and a short duration of action, lasting about 3-4 hours. It is used to control postprandial glucose levels.
B) Incorrect. Insulin lispro is not characterized by slow onset and long duration of action. This description more closely matches the characteristics of long-acting insulins.
C) Incorrect. Insulin lispro is not characterized by intermediate onset and duration of action. Intermediate-acting insulins, such as NPH insulin, have a slower onset and a longer duration of action.
D) Incorrect. Insulin lispro, like other insulins, has a peak action time. The peak action time refers to the time when the insulin has its maximum effect on lowering blood glucose levels.
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