A nurse is caring for an older adult client who is taking prednisone for long-term treatment of rheumatoid arthritis.
The nurse should monitor the client for which of the following adverse effects of this drug?
Liver toxicity.
Hypoglycemia.
Hemolytic anemia.
Bone loss.
The Correct Answer is D
Prednisone is a corticosteroid that can be used to treat rheumatoid arthritis and other conditions by reducing inflammation and suppressing the immune system.
However, long-term use of prednisone can cause side effects, including bone loss.
Choice A is wrong because liver toxicity is not a common side effect of prednisone.
Choice B is wrong because hypoglycemia is not a common side effect of prednisone; instead, elevated blood sugar is a possible side effect.
Choice C is wrong because hemolytic anemia is not a common side effect of prednisone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.
Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.
Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.
Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.
Correct Answer is D
Explanation
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.
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