A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
"I should take my flu vaccine within one week of starting this medication."
"I should eat more bananas while taking this medication."
"I should take aspirin for minor aches and pains while taking this medication."
"I can expect a sore throat for the first week after starting this medication."
The Correct Answer is B
Choice A reason: This is incorrect because the client should avoid live vaccines while taking prednisone, as it can suppress the immune system and increase the risk of infection.
Choice B reason: This is correct because prednisone can cause hypokalemia (low potassium levels) and bananas are a good source of potassium. The client should monitor their potassium levels and eat foods rich in potassium while taking prednisone.
Choice C reason: This is incorrect because the client should avoid nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin while taking prednisone, as they can increase the risk of gastrointestinal bleeding and ulceration.
Choice D reason: This is incorrect because a sore throat is not a common side effect of prednisone. However, the client should report any signs of infection, such as fever, sore throat, or cough, to the provider, as prednisone can mask the symptoms of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Decreases inflammation is a therapeutic effect of prednisone. Prednisone is a corticosteroid that suppresses the immune system and reduces the production of inflammatory mediators. This helps to relieve the pain, swelling, and stiffness of rheumatoid arthritis.
Choice B reason: Increases bone density is not a therapeutic effect of prednisone. Prednisone can cause bone loss and osteoporosis by decreasing calcium absorption and increasing calcium excretion. This increases the risk of fractures and bone damage.
Choice C reason: Reduces risk of infection is not a therapeutic effect of prednisone. Prednisone can increase the risk of infection by weakening the immune system and making it less able to fight off pathogens. This requires close monitoring and prophylactic antibiotics.
Choice D reason: Improves peripheral blood flow is not a therapeutic effect of prednisone. Prednisone can impair peripheral blood flow by causing vasoconstriction and increasing blood pressure. This can worsen the symptoms of peripheral vascular disease and increase the risk of thrombosis.
Correct Answer is C
Explanation
The correct answer is c. 2,525 mL.
Choice A reason:
1,350 mL is calculated by considering only the lactated Ringer’s IV intake. The calculation is as follows:
- Lactated Ringer’s IV at 150 mL/hr for 9 hr: 150 mL/hr × 9 hr = 1,350 mL. This option does not include the intake from cefazolin, packed RBCs, sodium chloride boluses, or famotidine.
Choice B reason:
1,600 mL is not a correct calculation based on the given intake. This value does not accurately sum up any combination of the provided intake components.
Choice C reason:
2,525 mL is the correct total intake. The detailed calculation is:
- Lactated Ringer’s IV at 150 mL/hr for 9 hr: 150 mL/hr × 9 hr = 1,350 mL.
- Cefazolin in 100 mL of 0.9% sodium chloride: 100 mL.
- Two units of packed RBCs: 275 mL + 250 mL = 525 mL.
- Two IV bolus infusions of 250 mL of 6.0% sodium chloride: 250 mL + 250 mL = 500 mL.
- Famotidine in 50 mL of 0.9% sodium chloride: 50 mL.
Adding these together: 1,350 mL + 100 mL + 525 mL + 500 mL + 50 mL = 2,525 mL.
Choice D reason:
2,100 mL is not a correct calculation based on the given intake. This value does not accurately sum up any combination of the provided intake components.
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