The nurse is providing discharge instructions to a client who is receiving prednisone 5 mg PO daily for a rash due to contact with poison ivy. Which symptom should the nurse tell the client to report to the healthcare provider?
Abdominal striae.
Rapid weight gain.
Moon facies.
Gastric irritation.
The Correct Answer is B
Choice A reason: Abdominal striae are a known side effect of long-term corticosteroid use, but they are not typically urgent or indicative of acute complications.
Choice B reason: Rapid weight gain may signal fluid retention, increased appetite, or early signs of Cushingoid effects. It can also indicate serious complications like heart failure or adrenal suppression, making it a priority symptom to report.
Choice C reason: Moon facies is a classic sign of chronic corticosteroid use but develops gradually and is not considered an acute concern requiring immediate reporting.
Choice D reason: Gastric irritation is common with prednisone and can be managed with food or antacids. It is not as urgent as unexplained rapid weight gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Nuchal rigidity is more commonly associated with meningeal irritation, such as in meningitis or subarachnoid hemorrhage, rather than ischemic stroke risk.
Choice B reason: A carotid bruit is a turbulent sound heard over the carotid artery, often indicating arterial narrowing due to atherosclerosis. This is a recognized risk factor for transient ischemic attacks and ischemic stroke.
Choice C reason: Jugular vein distention suggests elevated central venous pressure, often seen in heart failure, not typically linked to stroke risk.
Choice D reason: Palpable cervical lymph nodes are usually associated with infection or malignancy and do not indicate cerebrovascular risk.
Correct Answer is A
Explanation
Choice A reason: Tea and hot chocolate contain oxalates, which can contribute to the formation of calcium oxalate stones—the most common type of urinary tract calculi. Limiting these beverages helps reduce recurrence risk.
Choice B reason: Citrus juices, especially those high in citrate like lemonade and orange juice, can help prevent stone formation by inhibiting crystallization of calcium and oxalate. They are generally encouraged.
Choice C reason: Low sodium soups are not contraindicated unless the client has other conditions requiring sodium restriction. Sodium can increase calcium excretion, but the soup itself is not a primary concern unless consumed excessively.
Choice D reason: Overall fluid intake should not be limited. In fact, increasing fluid intake—especially water—is the most effective strategy to prevent stone recurrence by diluting urinary solutes and promoting regular voiding.
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