The nurse is caring for a patient newly diagnosed with chronic obstructive pulmonary disease (COPD), who has an order for prednisone orally. When planning medication teaching, the nurse will plan to include which potential side effect of this medication?

Drowsiness

Hypertension

Weight loss

Skin thickening

Answer and Explanation

The Correct Answer is B

Choice A reason: Drowsiness is not a typical side effect of prednisone. Prednisone can cause alertness and difficulty sleeping, making drowsiness an unlikely side effect. It is more commonly associated with medications that have sedative properties.

Choice B reason: Hypertension, or high blood pressure, is a potential side effect of prednisone. Corticosteroids like prednisone can cause fluid retention and increase blood pressure. Patients taking prednisone should monitor their blood pressure regularly and discuss any significant changes with their healthcare provider.

Choice C reason: Weight loss is not a common side effect of prednisone. In fact, prednisone can cause weight gain due to increased appetite and fluid retention. Patients on prednisone should be mindful of their diet and exercise to manage potential weight changes.

Choice D reason: Skin thickening is not a typical side effect of prednisone. Corticosteroids can cause thinning of the skin with long-term use, rather than thickening. Patients should be aware of this potential side effect and take steps to protect their skin.

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Correct Answer is C

Explanation

Choice A reason: Checking the patient's blood pressure before and after IV administration is important, but it is not the most critical action to ensure safety during the procedure.

Choice B reason: Ensuring the dialysis access site is used for IV administration when possible is not standard practice. The dialysis access site is typically reserved for dialysis treatments to prevent complications.

Choice C reason: Verifying the correct fluid type and rate as per the physician's order is the most important action. Ensuring the right fluid type and rate prevents potential complications such as fluid overload, electrolyte imbalances, and adverse reactions.

Choice D reason: Monitoring for signs of infiltration or extravasation at the IV site is important, but verifying the correct fluid type and rate takes precedence to prevent any errors in the initial setup.

A. Avoid alcoholic beverages late in the evening B. Take the medication in the evening C. Do a vigorous exercise routine right before bed D. Maintain the same consistent sleep schedule E. Read or do another quiet, noncomputer activity before bed

Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Avoiding alcoholic beverages late in the evening can help improve sleep quality. Alcohol can disrupt the sleep cycle and lead to fragmented sleep. For someone experiencing insomnia, avoiding alcohol close to bedtime can prevent further sleep disturbances and help maintain a more restful sleep.

Choice B reason: Taking the medication in the evening is not recommended for patients experiencing insomnia as a side effect of prednisone. Prednisone is a corticosteroid that can increase alertness and cause difficulty sleeping. It is typically recommended to take the medication in the morning to align with the body's natural cortisol production and minimize sleep disturbances.

Choice C reason: Doing a vigorous exercise routine right before bed is not advisable. While regular exercise can promote better sleep, vigorous physical activity close to bedtime can stimulate the body and make it harder to fall asleep. It is better to exercise earlier in the day and engage in relaxing activities before bed to prepare the body for sleep.

Choice D reason: Maintaining the same consistent sleep schedule is crucial for managing insomnia. Going to bed and waking up at the same time every day helps regulate the body's internal clock and improve sleep quality. Consistency in sleep routines can make it easier to fall asleep and wake up refreshed.

Choice E reason: Reading or doing another quiet, noncomputer activity before bed is a good recommendation for improving sleep. Engaging in calming activities such as reading a book, listening to soothing music, or practicing relaxation exercises can help prepare the mind and body for sleep. Avoiding screens and bright lights before bed is important as they can interfere with the production of melatonin, a hormone that regulates sleep.

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The nurse is caring for a patient newly diagnosed with chronic obstructive pulmonary disease (COPD), who has an order for prednisone orally. When planning medication teaching, the nurse will plan to include which potential side effect of this medication?

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Correct Answer is C

Explanation

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Explanation

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