A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

Monitor for compression fractures of the back and neck.

Glucocorticoids will boost immunity.

Plan to check blood glucose levels for hypoglycemia once each year.

Limit the intake of calcium rich foods while taking the medication.

Answer and Explanation

The Correct Answer is A

A. Monitor for compression fractures of the back and neck: Long-term use of glucocorticoids increases the risk of osteoporosis, leading to compression fractures. Monitoring for these complications is critical for early intervention.

B. Glucocorticoids will boost immunity: Glucocorticoids suppress immune function, increasing susceptibility to infections. This statement is incorrect.

C. Plan to check blood glucose levels for hypoglycemia once each year: Glucocorticoids often cause hyperglycemia, not hypoglycemia, necessitating frequent monitoring, especially in individuals at risk of diabetes.

D. Limit the intake of calcium-rich foods while taking the medication: Calcium-rich foods are encouraged to mitigate the risk of glucocorticoid-induced osteoporosis, making this advice inappropriate.

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Correct Answer is B

Explanation

A. "Examine your feet carefully every day.": Daily foot exams are crucial to prevent complications like infections, but controlling blood glucose is more important for preventing retinopathy and neuropathy.

B. "Maintain stable blood glucose levels.": Tight glucose control is the most critical action to reduce the risk of long-term complications, such as retinopathy and neuropathy.

C. "Wear closed-toed shoes daily.": This protects the feet but does not address the root cause of neuropathy and retinopathy.

D. "Plan to have an eye examination once per year.": Annual eye exams are essential for detecting retinopathy early, but stable blood glucose levels are the key to preventing its development.

A. Frequent mood changes B. Sensitivity to cold C. Constipation D. Weight gain

Correct Answer is A

Explanation

A. Frequent mood changes: Hyperthyroidism can cause irritability, anxiety, and mood swings due to increased metabolic activity.

B. Sensitivity to cold: Hyperthyroidism causes sensitivity to heat, not cold.

C. Constipation: Hyperthyroidism is associated with diarrhea or frequent bowel movements due to increased gastrointestinal motility.

D. Weight gain: Hyperthyroidism typically causes weight loss due to an increased metabolic rate, despite increased appetite.

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A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?

Correct Answer is B

Explanation

A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is A

Explanation

A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?

A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?

A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?

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