A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

"I should monitor for Cushing's symptoms during the withdrawal process."

"Once I am off of the steroids, I should never take them again."

"I should not try to taper off the medication without consulting my provider."

"I should reduce the dose by half each day until I am at 5mg, then I can stop the medication."

Answer and Explanation

The Correct Answer is C

a) Monitoring for Cushing's symptoms is important, but it is not a statement indicating a good understanding of the withdrawal process from glucocorticoids.

b) Telling the client to never take steroids again is an overly generalized statement and does not reflect a nuanced understanding of the medication.

c) Not attempting to taper off the medication without consulting the provider is the correct approach. Abrupt discontinuation can lead to adrenal insufficiency, and the tapering schedule should be individualized.

d) Reducing the dose by half each day without proper guidance may result in withdrawal symptoms and is not a recommended strategy.

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Correct Answer is ["A","C","D"]

Explanation

a. This statement warrants further education because enteric-coated aspirin is specifically designed to be absorbed in the small intestine and should not be chewed. Chewing the enteric coated aspirin can interfere with its protective coating and may lead to stomach irritation.

b. This statement is correct. Taking the aspirin with food can help minimize stomach irritation.

c. This statement warrants further education. Aspirin, even in low doses, should not be given to young children without consulting a healthcare provider due to the risk of Reye's syndrome.

d. This statement warrants further education. Ringing in the ears (tinnitus) is not a normal side effect of aspirin, and persistent symptoms should be reported to the healthcare provider.

e. This statement is correct. Black, tarry stools can indicate gastrointestinal bleeding, and the healthcare provider should be notified promptly.

A. If 60-124, no coverage B. If 125-150, give two units C. If 251-300, give eight units D. If 201-250, give six units

Correct Answer is ["D"]

Explanation

The blood glucose reading before lunch falls within the range of 201-250 mg/dl according to the sliding scale, and the corresponding instruction is to give six units of lispro insulin.

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A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed 81 mg of enteric coated aspirin every morning. Which of these statements by the client warrants further education?

Correct Answer is ["A","C","D"]

Explanation

The nurse is scheduled to administer lispro insulin per sliding scale before meals. The serum blood glucose reading before lunch is 152 mg/dl. Given the following sliding scale, how much insulin lispro should be given before lunch? (Select the appropriate parameter.)

Correct Answer is ["D"]

Explanation

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