Try Naxlex NCLEX-RN (Free-Trial)

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,E

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.

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 A

Explanation

A. Dry mouth, blurred vision, and constipation: These symptoms are classic anticholinergic side effects associated with many antidepressants, especially tricyclic antidepressants (TCAs). They result from the blockade of muscarinic receptors and are frequently reported by clients receiving these medications.

B. Headache, jaundice, and diarrhea: While headaches can occur with antidepressant use, jaundice is rare and would suggest serious liver toxicity rather than a common side effect. Diarrhea may happen with selective serotonin reuptake inhibitors (SSRIs) but is less typical overall than anticholinergic symptoms.

C. Bradycardia, delirium, and sedation: Some antidepressants can cause sedation, but bradycardia and delirium are not common side effects across the entire antidepressant class. These would be more likely associated with toxicity or drug interactions rather than typical daily use.

D. Insomnia, hypertension, and vomiting: Insomnia can occur with certain antidepressants like SSRIs or SNRIs, but hypertension and vomiting are less consistently seen across all antidepressant classes. These symptoms are not considered the hallmark side effects of antidepressant therapy.

A. Document the assessment findings in the electronic health record. B. Explain that the medication takes several weeks to reverse symptoms. C. Advise the client to schedule an appointment for liver function tests. D. Withhold the medication until the healthcare provider is notified.

Correct Answer is A

Explanation

A. Document the assessment findings in the electronic health record: Riluzole is not curative for ALS; it only modestly slows disease progression. Continuing muscle weakness and atrophy are expected findings in ALS, even after starting treatment. Accurate documentation is appropriate because no immediate change in therapy is indicated based solely on these observations.

B. Explain that the medication takes several weeks to reverse symptoms: Riluzole does not reverse ALS symptoms. It may slightly prolong survival by slowing the progression of muscle weakness, but it does not regenerate lost function or reverse disease-related damage.

C. Advise the client to schedule an appointment for liver function tests: Riluzole can affect liver function and periodic monitoring is important, but muscle weakness alone does not directly signal liver problems. Unless there are signs of hepatotoxicity, there is no immediate need for unscheduled testing.

D. Withhold the medication until the healthcare provider is notified: There is no indication to withhold riluzole based on ongoing muscle weakness, as this is consistent with the natural course of ALS. Interrupting therapy without a clear medical reason could harm the client.

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

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

The nurse determines that a client has been taking antidepressants for the past six months. Which symptoms are common side effects of this medication classification?

Correct Answer is A

Explanation

A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two weeks. The nurse notes that the client remains weak with observable muscle atrophy. Which action should the nurse take?

Correct Answer is A

Explanation

A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Reference Range: White Blood Cell [5,000 to 10,000/mm3 (5 to 10 10^9/L)]

The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?

Patient Data Which actions should the nurse take to assure safety during morphine administration? Select all that apply.

The client is receiving fentanyl transdermal patch 25 mcg/hr. Which nursing intervention is most important for the nurse to initiate?

The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is "Naloxone 0.4 mg/mL." How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Patient Data Which should the nurse do immediately? Select all that apply.

Patient Data The charge nurse places a fall precautions sign on the client's door. Which side effects of morphine could contribute to this client's fall risk? Select all that apply

A client with open-angle glaucoma is using pilocarpine opthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating the effectiveness of the medication?

Patient Data

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