A nurse is preparing to administer prednisone to a client for treatment of rheumatoid arthritis. Which of the following findings indicates to the nurse the treatment is effective?
Elevated blood glucose
Improved range of motion
Increased blood pressure
Improved mood
The Correct Answer is B
A. Elevated blood glucose: Elevated blood glucose is a common side effect of prednisone due to its glucocorticoid activity. However, this does not indicate the effectiveness of treatment for rheumatoid arthritis.
B. Improved range of motion: Improved range of motion is an indication that the inflammation and pain associated with rheumatoid arthritis are being effectively managed by prednisone, making this the best indicator of treatment effectiveness.
C. Increased blood pressure: Increased blood pressure is another potential side effect of prednisone but does not indicate the effectiveness of the treatment for rheumatoid arthritis.
D. Improved mood: While prednisone can sometimes improve mood, this is not a direct indicator of its effectiveness in treating rheumatoid arthritis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Place the client on his back, remove dangerous objects, and insert a bite block. Placing a client on their back during a seizure increases the risk of airway obstruction, and inserting a bite block is not recommended as it can cause injury.
B. Place the client on his side, remove dangerous objects, and insert a bite block. While positioning the client on their side is correct, inserting a bite block is contraindicated due to the risk of injury to the client.
C. Place the client on his back, remove dangerous objects, and hold down his arms. Restraining a client during a seizure is not recommended as it can cause injury. Placing the client on their back also poses a risk of airway obstruction.
D. Place the client on his side, remove dangerous objects, and protect his head. Positioning the client on their side helps maintain airway patency, removing dangerous objects prevents injury, and protecting the head helps prevent head trauma during the seizure.
Correct Answer is A
Explanation
A. "It will not produce sedation like benzodiazepines." Buspirone is a non-sedative anxiolytic, making it safer for long-term use compared to benzodiazepines, which can cause sedation and other CNS depressant effects. This is the best response as it directly addresses the patient's concern about safety.
B. "It produces anticonvulsant action to prevent convulsions." Buspirone does not have anticonvulsant properties, and this response does not address the patient’s question about safety compared to benzodiazepines.
C. "It produces muscle relaxant effects to decrease back pain." Buspirone does not have muscle relaxant effects, and this response does not directly answer the patient’s concern about the safety of the medication.
D. "It provides you with a sleep additive to decrease insomnia." Buspirone does not have significant sedative or hypnotic effects, making this response incorrect.
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