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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale
While staying hydrated is generally good advice, drinking at least 2 liters of water a day is not specifically related to preventing antibiotic resistance.
Choice B rationale
Taking antibiotics on-time around the clock is crucial for maintaining therapeutic levels of the medication in the body. This helps to effectively kill the bacteria and prevent them from developing resistance.
Choice C rationale
Eating a serving of yogurt every day can help maintain gut health during antibiotic treatment, but it does not directly prevent antibiotic resistance.
Choice D rationale
Stopping antibiotics when symptoms resolve can actually contribute to antibiotic resistance. Even if symptoms have improved, bacteria may still be present. Stopping treatment early gives these bacteria a chance to survive and develop resistance.

A. Fluid retention B. Osteoporosis C. Adrenal insufficiency D. Gastrointestinal bleeding

Correct Answer is B

Explanation

Choice A rationale
Fluid retention is a common side effect of prednisone, but it is not directly associated with compression fractures of the vertebrae.
Choice B rationale
Long-term use of prednisone can lead to osteoporosis, a condition that weakens bones and makes them more likely to break. Osteoporosis can increase the risk of fractures, including compression fractures of the vertebrae. This is likely the adverse effect of prednisone that is most associated with the client’s findings.
Choice C rationale
Adrenal insufficiency is a potential side effect of long-term prednisone use. However, it is not directly linked to compression fractures of the vertebrae.
Choice D rationale
While gastrointestinal bleeding can occur with prednisone use, it is not directly related to compression fractures of the vertebrae.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A patient is being discharged on a home course of antibiotics. What education should the nurse provide as an effective way to prevent antibiotic resistance?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

A client comes to the clinic and reports that they stopped taking their prescribed steroids early because they felt much better. What side effect should the nurse anticipate in this client?

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?

The physician orders psyllium for constipation. Which client situation would require the nurse to his order?

Which tuberculosis patient is at the greatest risk of developing a drug-resistant form of the disease?

A patient has been on antibiotic therapy for 2 weeks and reports watery diarrhea and abdominal cramps. What intervention should the nurse suggest to the healthcare provider?

A client is prescribed milk of magnesia. After reviewing the client’s lab results, which potential electrolyte imbalance is the nurse concerned about?

A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin. What should the nurse include in the patient’s education?

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?