A nurse is reinforcing teaching with a client prescribed betamethasone for chronic osteoarthritis. Which of the following statements by the client indicates understanding of the teaching?

"I can experience harmless, black-colored stools while taking this medication."

"I will eat a low-potassium diet while taking this medication."

"I will protect my adrenal glands by taking this medication every other day."

"I can achieve the best effectiveness by taking this medication before bedtime."

Answer and Explanation

The Correct Answer is C

Choice A reason: Black-colored stools can indicate gastrointestinal bleeding, which is a potential side effect of corticosteroids like betamethasone. It is not considered harmless and should be reported to the healthcare provider immediately.

Choice B reason: A low-potassium diet is not specifically required for clients taking betamethasone. Corticosteroids can cause potassium loss, so it is important to monitor potassium levels, but not necessarily restrict intake unless directed by the healthcare provider.

Choice C reason: The correct answer is c because taking corticosteroids like betamethasone every other day can help reduce the risk of adrenal suppression, a common side effect of long-term corticosteroid use. This dosing schedule allows the adrenal glands to recover and maintain their function.

Choice D reason: Taking betamethasone before bedtime is not specifically recommended for its effectiveness. The dosing schedule should be based on the healthcare provider's instructions and tailored to the client's condition and response to the medication.

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Correct Answer is B

Explanation

Choice A reason: While gowns may be part of the precautions, they are not sufficient alone for preventing the spread of TB, which is transmitted via airborne particles.

Choice B reason: Placing the client in a private room with a special ventilation system is crucial for preventing the spread of TB. The special ventilation system, typically a negative pressure room, ensures that airborne particles do not escape into other areas, thereby protecting staff and other patients.

Choice C reason: A semi-private room with another patient requiring droplet precautions is inappropriate for a TB patient, as TB requires strict airborne precautions to prevent transmission.

Choice D reason: Removing personal protective equipment in the hallway increases the risk of contaminating the hallway and spreading TB. PPE should be removed inside the room or anteroom to contain potential contaminants.

A. Burning during urination B. Reddish-orange urine C. Visual disturbances D. Lethargy

Correct Answer is B

Explanation

Choice A reason: Phenazopyridine is a urinary tract analgesic used to relieve symptoms such as burning, pain, and urgency during urination. It should reduce burning during urination, not cause it.

Choice B reason: The correct answer is b because reddish-orange urine is a common and expected side effect of phenazopyridine. The medication can cause discoloration of urine, which is harmless but important for clients to be aware of to avoid unnecessary concern.

Choice C reason: Visual disturbances are not a known side effect of phenazopyridine. Clients should be informed to report any unusual symptoms, but this is not typically associated with the medication.

Choice D reason: Lethargy is also not a common side effect of phenazopyridine. The medication primarily acts on the urinary tract and does not generally cause significant systemic effects.

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A nurse is reinforcing teaching with a client prescribed betamethasone for chronic osteoarthritis. Which of the following statements by the client indicates understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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