A patient is started on prednisone therapy. Which of these goals should be given priority in the patient's plan of care?

The patient will maintain a moist oral mucosa.

The patient will increase physical mobility.

The patient will remain free of infection.

The patient will ingest a moderate potassium diet.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While maintaining a moist oral mucosa is important, preventing infection takes precedence, as infections can lead to serious complications and compromise overall health.

Choice B rationale:

Increasing physical mobility is a valid goal, but infection prevention is more critical, especially when starting prednisone therapy, which can weaken the immune response.

Choice C rationale:

The priority lies in keeping the patient free of infection. Prednisone can suppress the immune system, making the patient more susceptible to infections that can have severe consequences.

Choice D rationale:

Ingesting a moderate potassium diet is important, but the prevention of infection takes precedence due to the potential for serious health risks associated with compromised immunity.

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Correct Answer is B

Explanation

Choice A rationale:

Returning to the hospital if the child spits up blood is a correct response as it indicates the recognition of potential postoperative bleeding.

Choice B rationale:

Giving the child cherry gelatin, even though it's the child's favorite, might not be appropriate after a tonsillectomy/adenoidectomy, as certain foods can irritate the healing throat.

Choice C rationale:

Returning to the hospital if the child develops difficulty breathing is a necessary step to address any respiratory distress.

Choice D rationale:

Having the child rinse her mouth frequently with water to prevent a bad breath odor is a suitable suggestion to maintain oral hygiene and comfort after surgery. In all three scenarios, the rationale for the correct answers revolves around patient safety, comfort, and appropriate post-operative care. The incorrect choices in each question either introduce potential complications, misunderstandings, or actions that might compromise the patient's well-being.

A. Take the medication each night at bedtime. B. The medication should be taken every 12 hours. C. Take the medication 30 minutes before breakfast. D. The medication should be taken with every meal.

Correct Answer is C

Explanation

Choice A rationale:

Taking the medication each night at bedtime is not recommended, as stimulant medications can interfere with sleep. Administering them before bedtime can lead to insomnia.

Choice B rationale:

The medication's dosing frequency every 12 hours is not accurate for ADHD stimulant medications. They are typically taken in the morning and may have shorter-acting formulations for later in the day if needed.

Choice C rationale:

Taking the medication 30 minutes before breakfast is a common instruction for stimulant medications used to treat ADHD. This timing aligns with the child's daily routine and helps manage potential appetite suppression.

Choice D rationale:

Taking the medication with every meal is not recommended, as it might interfere with absorption and effectiveness. Stimulant medications are typically taken in the morning and, if necessary, at lunchtime.

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A patient is started on prednisone therapy. Which of these goals should be given priority in the patient's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A patient is started on prednisone therapy. Which of these goals should be given priority in the patient's plan of care?