Which of these findings, from a client taking steroids, should the nurse report immediately?

Temperature of 101.2 degrees Fahrenheit

Blood pressure of 144/68 mm Hg

Glucose 128 mg/dl

Heart rate of 102 beats per minute

Answer and Explanation

The Correct Answer is A

a) An elevated temperature could indicate an infection, which is a serious concern in a client taking steroids, as steroids can suppress the immune system. This finding should be reported immediately.

b) Blood pressure within this range is generally acceptable and may not be a cause for immediate concern.

c) A glucose level of 128 mg/dl is within a reasonable range and may not require immediate reporting unless there are other concerning factors.

d) A heart rate of 102 beats per minute is generally within an acceptable range and may not be an immediate cause for concern in the absence of other symptoms.

Nursing Test Bank

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Correct Answer is B

Explanation

a) Tingling in the toes may be indicative of peripheral neuropathy but is not specifically related to elevated BUN and serum creatinine levels.

b) Elevated BUN and serum creatinine levels suggest potential renal impairment, and interpreting peak and trough levels of vancomycin is essential to assess the drug's impact on renal function.

c) Assessing urine output is important in evaluating renal function, but the specific action related to the elevated BUN and creatinine levels is to interpret vancomycin levels.

d) Consulting the provider about the need for a less nephrotoxic medication may be a consideration, but understanding the impact of vancomycin on renal function through peak and trough levels is a crucial initial step.

A. Antihistamines are safe to take during breastfeeding, but they cause spina bifida in pregnancy. B. Antihistamines should be avoided in pregnancy unless necessary. C. The margin of safety for antihistamines is clearly understood for pregnant clients. D. Second-generation antihistamines are completely safe to take during the first trimester.

Correct Answer is B

Explanation

a) Antihistamines are generally considered safe during breastfeeding, but this statement does not address the safety during pregnancy.

b) The general recommendation is to avoid unnecessary medication use during pregnancy, including antihistamines, especially during the first trimester.

c) The margin of safety for antihistamines is not universally understood, and caution is advised during pregnancy.

d) While second-generation antihistamines are considered safer than first-generation ones, the safety of any medication during pregnancy should be discussed with a healthcare provider.

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Which of these findings, from a client taking steroids, should the nurse report immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with an infection is being treated with vancomycin. The nurse providing care reviews the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum creatinine levels are newly elevated. What would be the appropriate nursing intervention?

Correct Answer is B

Explanation

A pregnant client asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the client?

Correct Answer is B

Explanation

Which statement by the client shows a correct understanding of how they should take their levothyroxine?

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