A nurse is caring for a client who is receiving prednisone on a long-term basis to treat inflammatory bowel disease.
Which of the following actions should the nurse take?
Instruct the client to obtain annual immunizations.
Monitor the client for hypotension.
Monitor the client frequently for episodes of hypoglycemia.
Instruct the client to consume a diet high in calcium.
The Correct Answer is D
Long-term use of prednisone can lead to a decrease in bone density and an increased risk of osteoporosis.
Consuming a diet high in calcium can help to maintain bone health and reduce the risk of osteoporosis.
Choice A is wrong because while it is important for individuals taking prednisone to receive immunizations, they should not receive live vaccines due to the immunosuppressive effects of prednisone.
Choice B is wrong because prednisone can cause hypertension, not hypotension.
Choice C is wrong because prednisone can cause hyperglycemia, not hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Methimazole is a medication used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone.
Bradycardia, or a slow heart rate, can be a sign that the client’s thyroid hormone levels have become too low, indicating that the dose of methimazole may need to be decreased.
Choice A is wrong because Exophthalmos, is not an indication for a lower dose of methimazole as it is a symptom of Graves’ disease itself and not related to the medication.
Choice B is wrong because Diaphoresis, or excessive sweating, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.
Choice D is wrong because Weight loss, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.
Correct Answer is C
Explanation
Some people believe that saw palmetto may help reduce symptoms of benign prostate hypertrophy (BPH).
The nurse should suggest that the client discuss this supplement with their provider.
Choice Ais wrong because black cohosh is not commonly used to treat BPH.
Choice Bis wrong because feverfew is not commonly used to treat BPH.
Choice D is wrong because garlic is not commonly used to treat BPH.
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