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Patient Data

Which possible side effects of fluticasone should the nurse advise the client about? Select all that apply.

Hyperglycemia

Dehydration

Dry mouth

Oral candidiasis

Hypoxia

Adrenal suppression

Hyperkalemia

Answer and Explanation

Correct Answer : C,D,F

A. Hyperglycemia: While systemic corticosteroids can cause hyperglycemia, inhaled corticosteroids like fluticasone have minimal systemic absorption and rarely lead to significant blood sugar elevations unless used at very high doses over a long time.

B. Dehydration: Dehydration is not a known side effect of fluticasone. This medication acts locally in the respiratory tract and does not impact overall fluid balance significantly.

C. Dry mouth: Inhaled corticosteroids like fluticasone can cause dry mouth or throat irritation due to reduced salivary flow and local mucosal dryness. Clients should be instructed to rinse their mouth after use to minimize discomfort.

D. Oral candidiasis: Oral candidiasis (thrush) is a common side effect of inhaled corticosteroids because the steroid can suppress local immune responses, allowing fungal overgrowth in the mouth. Rinsing the mouth after each inhalation helps prevent this complication.

E. Hypoxia: Fluticasone improves airway inflammation and reduces the risk of hypoxia by enhancing lung function. It does not cause or worsen hypoxia as a side effect.

F. Adrenal suppression: Although rare with low-dose inhaled steroids, adrenal suppression can occur with long-term, high-dose use due to absorption of corticosteroids into the bloodstream. Monitoring and using the lowest effective dose help minimize this risk.

G. Hyperkalemia: Fluticasone does not significantly affect potassium levels. Hyperkalemia is not a recognized side effect of inhaled corticosteroids.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs): Feverfew has antiplatelet effects that can increase the risk of bleeding when combined with aspirin or NSAIDs. Teaching the client about this interaction is critical to prevent serious adverse effects such as gastrointestinal bleeding or easy bruising.

B. Those with allergies to chamomile, ragweed, or yarrow should not take feverfew: Although this is important information for clients with specific allergies, it is not as immediately critical as informing about drug interactions that can cause dangerous bleeding risks.

C. Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew: These gastrointestinal side effects are common but generally mild and not life-threatening, making them less critical to address compared to drug interactions.

D. Increased anxiety and nervousness have been reported by those taking feverfew: While some clients may experience mild mood changes, this is less common and not as serious as the bleeding risks associated with concurrent use of feverfew and other antiplatelet agents.

A. Consume foods that are high in iodine. B. Administer levothyroxine at bed time. C. Take medication on an empty stomach. D. Avoid the use of iron supplements.

Correct Answer is C

Explanation

A. Consume foods that are high in iodine: While iodine is necessary for thyroid function, levothyroxine therapy is aimed at directly replacing thyroid hormone. Excessive iodine intake can potentially disrupt thyroid hormone balance, so encouraging high iodine consumption is not the primary focus when educating about levothyroxine use.

B. Administer levothyroxine at bed time: Levothyroxine is best absorbed when taken in the morning on an empty stomach, ideally 30 to 60 minutes before breakfast. Taking it at bedtime could reduce its absorption if the stomach is not empty or if it interacts with food or other nighttime medications.

C. Take medication on an empty stomach: Levothyroxine absorption is significantly improved when the medication is taken on an empty stomach, separated from food and other medications by at least 30 to 60 minutes. This practice ensures optimal therapeutic effects and maintains stable thyroid hormone levels.

D. Avoid the use of iron supplements: While iron supplements can interfere with the absorption of levothyroxine, the instruction is not necessarily to avoid them altogether, but rather to separate their administration by several hours (usually 4 hours) from the levothyroxine dose to ensure proper absorption of both.

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Patient Data Which possible side effects of fluticasone should the nurse advise the client about? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Correct Answer is A

Explanation

A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse education was effective?

Correct Answer is C

Explanation

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Patient Data

Which possible side effects of fluticasone should the nurse advise the client about? Select all that apply.