A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma.
Which of the following information should the nurse include in the teaching?

"You must rinse your mouth out after each dose.”

"You should take this medication on an empty stomach.”

"You should take a calcium supplement while taking this medication.”

"You can expect some weight loss with this medication.” .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

“You must rinse your mouth out after each dose.” This is incorrect. Rinsing the mouth after each dose is usually recommended for inhaled corticosteroids, not oral prednisone.

Choice B rationale:

“You should take this medication on an empty stomach.” This is incorrect. Prednisone should be taken with food to prevent stomach upset.

Choice C rationale:

“You should take a calcium supplement while taking this medication.” This is correct because long-term use of prednisone can lead to bone loss (osteoporosis) Taking a calcium supplement can help protect bone health.

Choice D rationale:

“You can expect some weight loss with this medication.” This is incorrect. Weight gain, not weight loss, is a common side effect of long-term prednisone use.

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Correct Answer is C

Explanation

Choice A rationale:

Atenolol is a beta-blocker used to treat high blood pressure and heart-related conditions. It’s not used in the treatment of alcohol use disorder.

Choice B rationale:

Lorazepam is a benzodiazepine used to treat anxiety disorders. It can be used in the acute management of alcohol withdrawal, but it doesn’t assist in maintaining abstinence.

Choice C rationale:

Disulfiram is a medication used to support the treatment of chronic alcoholism by producing an acute sensitivity to ethanol (drinking alcohol) If alcohol is consumed when a patient has received disulfiram treatment, they suffer from a disulfiram-alcohol reaction, which can include symptoms like flushing, nausea, vomiting, and headaches. This aversive effect aids in discouraging the consumption of alcohol.

Choice D rationale:

Carbamazepine is an anticonvulsant and mood stabilizer medication used primarily in the treatment of epilepsy and bipolar disorder, not for alcohol use disorder.

A. Two loose stools in the past 24 hr. B. WBC 11,000/mm³. C. Heart rate 104/min. D. Creatinine 3.1 mg/dL.

Correct Answer is D

Explanation

Choice A rationale:

Two loose stools in the past 24 hours could be a symptom of Clostridioides difficile infection, but it’s not necessarily a priority finding. The infection can cause diarrhea, but it’s not life-threatening.

Choice B rationale:

A WBC count of 11,000/mm³ is slightly elevated, indicating a possible infection. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice C rationale:

A heart rate of 104/min is slightly elevated, indicating possible stress or anxiety. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice D rationale:

Creatinine level of 3.1 mg/dL is significantly high, indicating possible kidney damage, which can be a side effect of vancomycin treatment. This should be reported to the provider immediately.

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A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma.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 receiving treatment for chronic alcohol use disorder.Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

Correct Answer is C

Explanation

A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection.Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

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A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma.
Which of the following information should the nurse include in the teaching?