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 D

Explanation

A. Weight gain: Excessive levothyroxine leads to hyperthyroidism, which typically causes weight loss, not gain.

B. Bradycardia: Bradycardia is a symptom of hypothyroidism, not hyperthyroidism from excessive levothyroxine.

C. Decreased temperature: Low body temperature is a sign of hypothyroidism, not hyperthyroidism.

D. Tachypnea: Overdosing on levothyroxine can cause hyperthyroidism, leading to increased metabolic rate and symptoms such as tachypnea.

A. Increased urine output B. Fluid retention C. Hypertension D. Elevated blood glucose

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.

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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 caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

Correct Answer is D

Explanation

A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers insulin. The client reports drinking an occasional glass of wine. Which of the following is an appropriate response by the nurse?

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A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which should the nurse anticipate the provider prescribing for treatment?

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

A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?

A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication?

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?

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