A patient is prescribed oral prednisone for an exacerbation of an autoimmune disease.

Which finding in the patient’s past medical history would contraindicate the use of prednisone?

Tuberculous meningitis

Chronic obstructive pulmonary disease

Cerebral edema

Peptic ulcer disease

Answer and Explanation

The Correct Answer is D

Choice A rationale
Tuberculous meningitis is a serious condition, but it is not a contraindication for the use of prednisone.
Choice B rationale
Chronic obstructive pulmonary disease (COPD) is not a contraindication for prednisone. In fact, prednisone is often used to treat exacerbations of COPD56.
Choice C rationale
Cerebral edema is not a contraindication for prednisone. Prednisone is sometimes used to reduce inflammation and swelling in the brain.
Choice D rationale
Peptic ulcer disease is a contraindication for the use of prednisone. Prednisone can increase the risk of peptic ulcers by increasing stomach acid secretion and decreasing the production of protective mucus in the stomach.

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Correct Answer is D

Explanation

Choice A rationale
While measuring the correct dosage is an important step in administering nystatin, it is not the first step. The first step should always be to ensure that the medication is properly mixed to ensure an even distribution of the medication.
Choice B rationale
Recording the amount of medication administered is an important step in medication administration, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice C rationale
Instructing the client to swish the nystatin around their mouth is an important part of the administration process, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice D rationale
Vigorously shaking the nystatin bottle is the first step in administering nystatin. This ensures that the medication is properly mixed and that the patient will receive the correct dosage.

A. Long-term use of these drugs can lead to hypermagnesemia. B. Long-term use may contribute to osteoporosis. C. Proton pump inhibitors can cause diarrhea. D. Proton pump inhibitors cause drowsiness.

Correct Answer is B

Explanation

Choice A rationale
Hypermagnesemia, or high levels of magnesium in the blood, is not a common side effect of proton pump inhibitors. These medications do not contain magnesium and do not cause the body to produce more magnesium.
Choice B rationale
Long-term use of proton pump inhibitors may contribute to osteoporosis. Some studies have suggested that these medications can interfere with calcium absorption, potentially leading to bone loss and an increased risk of fractures.
Choice C rationale
While some people may experience diarrhea as a side effect of proton pump inhibitors, it is not one of the most common side effects.
Choice D rationale
Drowsiness is not a typical side effect of proton pump inhibitors. These medications work by reducing the amount of acid produced in the stomach, but they do not typically affect alertness or energy levels.

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A patient is prescribed oral prednisone for an exacerbation of an autoimmune disease. Which finding in the patient’s past medical history would contraindicate the use of prednisone?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse is about to administer nystatin, which has been prescribed by the physician for a client with an oral candida infection that includes the roof of the mouth and the back of the throat, what should be the first step?

Correct Answer is D

Explanation

The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential side effects. Which statement should the nurse include in the education to the patient?

Correct Answer is B

Explanation

A patient is scheduled for surgery this morning and the nurse is administering the morning medications. Which scheduled morning medication should the nurse withhold and not administer on the morning of surgery?

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A laxative has been ordered for a patient. The nurse checks the patient’s medical history and would be concerned if which condition is present?

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A nurse is about to give a client amoxicillin but discovers that the client had a rash when taking penicillin in the past. What should the nurse’s next step be?

A client with asthma has been taking prednisone daily for two years and is now in the emergency department complaining of back pain. An MRI of the spine shows a compression fracture of a vertebra. Which adverse effect of prednisone is most likely associated with these findings?

The nurse has provided education to a patient with diabetes who is starting on insulin injections. The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

A patient is prescribed oral prednisone for an exacerbation of an autoimmune disease.

Which finding in the patient’s past medical history would contraindicate the use of prednisone?