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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased urine output: Diabetes insipidus (DI) results from insufficient antidiuretic hormone (ADH) or kidney insensitivity to ADH, leading to polyuria and dehydration.
B. Fluid retention: Fluid retention is more indicative of the syndrome of inappropriate antidiuretic hormone (SIADH), not DI.
C. Hypertension: DI typically causes dehydration and low blood pressure, not hypertension.
D. Elevated blood glucose: Elevated glucose is a feature of diabetes mellitus, not DI, which is unrelated to glucose metabolism.
Correct Answer is A
Explanation
A. Insulin injections daily: Uncontrolled blood glucose levels, despite dietary compliance, indicate that the pancreas may not be producing adequate insulin. Daily insulin is necessary to control hyperglycemia in this situation.
B. Fluid restrictions: Fluid restrictions are not indicated unless the client has comorbidities like heart or renal failure.
C. Oral hypoglycemic medications: Oral medications are often ineffective for Type 1 diabetes or severe cases of Type 2 diabetes with marked hyperglycemia.
D. Peritoneal dialysis therapy: This is a treatment for end-stage renal disease, not uncontrolled diabetes mellitus.
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