Nokea
A client has been prescribed Prednisone for an inflammatory condition and is receiving discharge teaching from a nurse. Which of the following instructions should the nurse include?
- A. Take this medication on an empty stomach.
- B. Avoid alcohol while taking this medication.
- C. Monitor your blood pressure regularly.
- D. Take this medication in the morning to prevent insomnia.
Correct Answer: D
Rationale: The correct answer is to take Prednisone in the morning to prevent insomnia. Prednisone can cause insomnia as a side effect, so taking it in the morning can help minimize this issue. It is important to follow the healthcare provider's instructions regarding the timing of Prednisone administration to optimize its effectiveness and minimize adverse effects.
You may also like to solve these questions
A patient in the clinic reports difficulty tolerating the current ACE inhibitor medication, and questions if another medication could be used. The nurse correctly suspects the prescriber will choose which medication, which affects the renin-angiotensin-aldosterone system?
- A. atenolol
- B. losartan
- C. spironolactone
- D. adenosine
Correct Answer: B
Rationale: Losartan is an angiotensin II receptor blocker (ARB) that affects the renin-angiotensin-aldosterone system (RAAS) and is often used as an alternative to ACE inhibitors. Atenolol (A) is a beta-blocker, spironolactone (C) is a potassium-sparing diuretic, and adenosine (D) is used for arrhythmias. ARBs like losartan are preferred for patients who cannot tolerate ACE inhibitors due to side effects like cough or angioedema.
A healthcare professional is preparing to administer eye drops to a client. Which of the following actions should the healthcare professional take? (Select all that apply.)
- A. Have the client lie on their side.
- B. Ask the client to look up at the ceiling.
- C. Tell the client to blink when the drops enter their eye.
- D. Drop the medication into the center of the client's conjunctival sac.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the following adverse reactions?
- A. Bone marrow suppression
- B. Pancreatitis
- C. Pancreatitis
- D. Bone marrow suppression
Correct Answer: D
Rationale: While bone marrow suppression is not typically associated with Enfuvirtide, a more relevant concern is the risk of severe allergic reactions such as anaphylaxis. Enfuvirtide, an HIV fusion inhibitor, can cause local injection site reactions and systemic allergic responses. Monitoring for signs of allergic reactions, such as rash, fever, and difficulty breathing, is crucial to ensure the client's safety.
When using Nitroglycerine (transdermal), how many hours should you be nitrate-free each day?
- A. 1-2 hours
- B. 5-10 hours
- C. 3-4 hours
- D. 10-12 hours
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which intravenous solution is correct for use with the PRBC transfusion?
- A. 5% dextrose in water (D5W)
- B. 0.9% sodium chloride (NS)
- C. 5% dextrose in 0.45% sodium chloride (D5NS)
- D. 5% dextrose in lactated Ringer™s solution (D5LR)
Correct Answer: B
Rationale: 0.9% sodium chloride (NS), also known as normal saline, is the correct intravenous solution to use with packed red blood cell (PRBC) transfusion. NS is isotonic and compatible with blood products, making it the preferred solution for blood transfusions to prevent hemolysis of red blood cells. Other solutions such as D5W, D5NS, and D5LR are not recommended for use with PRBC transfusions due to their potential to cause hemolysis or affect the stability of the blood product.