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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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A. Clammy: Hypoglycemia often causes diaphoresis, resulting in clammy skin.

B. Tachycardia: The release of epinephrine in response to hypoglycemia leads to tachycardia.

C. Blurry Vision: Neuroglycopenia from insufficient glucose to the brain can result in visual disturbances like blurry vision.

D. Dry Skin: Dry skin is more indicative of hyperglycemia or dehydration, not hypoglycemia.

E. Warm/Hot Skin: Warm or hot skin is associated with fever or hyperglycemia, not hypoglycemia.

A. "I must avoid all sweets and carbohydrates." B. "I must check my feet daily." C. "I will stop exercising so my blood sugar doesn't drop." D. "I should have a yearly eye exam.” E. "I should aim to keep my premeal blood glucose reading under 126 mg/dl.”

Correct Answer is ["B","D","E"]

Explanation

A. "I must avoid all sweets and carbohydrates": A balanced diet including carbohydrates is essential for energy. The focus should be on managing portion sizes and choosing complex carbohydrates.

B. "I must check my feet daily": Regular foot inspections help prevent complications such as ulcers and infections, which are common in diabetes.

C. "I will stop exercising so my blood sugar doesn't drop": Exercise is important for managing diabetes, but clients should monitor blood sugar levels before and after exercising and have a carbohydrate source available to prevent hypoglycemia.

D. "I should have a yearly eye exam": Annual eye exams are necessary to detect diabetic retinopathy early.

E. "I should aim to keep my premeal blood glucose reading under 126 mg/dL": This goal aligns with ADA recommendations for glycemic control in diabetes management.

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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 with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply

Correct Answer is ["B","D","E"]

Explanation

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