Which instruction should the PN emphasize about the dosing schedule?
Take the prednisone with meals.
Decrease dosage daily as prescribed.
Return for blood glucose monitoring in one week.
Monitor oral temperature daily.
The Correct Answer is B
Choice A rationale
While it is generally recommended to take prednisone with meals to reduce stomach upset, this is not the most important instruction regarding the dosing schedule.
Choice B rationale
Prednisone is a corticosteroid that is often prescribed in a tapering schedule, meaning the dosage is gradually reduced over time. This is to allow the body to adjust and to minimize potential side effects, such as adrenal insufficiency, which can occur if prednisone is stopped suddenly.
Choice C rationale
While monitoring of blood glucose levels is important for patients taking prednisone, especially those with diabetes, as prednisone can increase blood sugar levels, it is not the most important instruction regarding the dosing schedule.
Choice D rationale
Monitoring of oral temperature daily is not typically required for patients taking prednisone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D, Hold the medication until the meal tray arrives. Acarbose is an oral antidiabetic medication that works by slowing the digestion of carbohydrates in the small intestine, thereby reducing the rise in blood glucose after meals. It is important to take acarbose at the start of each main meal, as it works on the food that is consumed. If the meal is delayed, the medication should also be delayed.
Correct Answer is B
Explanation
Answer and explanation
The correct answer is B. If chest pain is not relieved after taking one nitroglycerin tablet three
times at 5-minute intervals, call the emergency medical service (EMS).
Choice A rationale
While flushing, dizziness, and general body warmth can occur with each sublingual tablet
taken, these are side effects of the medication and not the primary intended effect. The main
purpose of nitroglycerin is to relieve chest pain associated with angina.
Choice B rationale
This is the most important instruction. Nitroglycerin is used to treat episodes of angina. If
chest pain is not relieved after taking one nitroglycerin tablet three times at 5-minute
intervals, it could indicate a more serious condition, such as a heart attack. In this case,
immediate medical attention is necessary.
Choice C rationale
A pounding headache is a common side effect of both the nitroglycerin patch and the
sublingual tablets. However, the presence of a headache does not indicate whether the
medication is effectively treating angina.
Choice D rationale
While it’s true that nitroglycerin patches are used for long-term prevention and sublingual
tablets are used for acute attacks, this is general information about the medication and not the
most important instruction for a patient who has been prescribed nitroglycerin.
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