Nokea
A client with a history of rheumatoid arthritis is prescribed prednisone. The nurse should monitor the client for which of the following adverse effects? Select all that apply.
- A. Hyperglycemia.
- B. Osteoporosis.
- C. Weight gain.
- D. Hypertension.
- E. Hypokalemia.
Correct Answer: A, B, C, D, E
Rationale: Prednisone can cause hyperglycemia, osteoporosis, weight gain, hypertension, and hypokalemia.
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A client with a diagnosis of rheumatoid arthritis is prescribed adalimumab (Humira). The nurse should monitor the client for which of the following side effects?
- A. Infection.
- B. Hypotension.
- C. Weight gain.
- D. Hyperglycemia.
Correct Answer: A
Rationale: Adalimumab, a TNF inhibitor, increases the risk of infections due to immune suppression.
The nurse is teaching a client with a new diagnosis of multiple sclerosis about safety precautions. Which of the following instructions is most important?
- A. Use assistive devices to prevent falls.
- B. Take medications at bedtime only.
- C. Avoid hot baths or showers.
- D. Limit physical activity to prevent fatigue.
Correct Answer: A
Rationale: Using assistive devices prevents falls, a critical safety concern in multiple sclerosis due to muscle weakness or coordination issues.
A client with a burn injury is prescribed silver sulfadiazine. What should the nurse monitor for?
- A. Hypokalemia.
- B. Leukopenia.
- C. Hyperglycemia.
- D. Hypertension.
Correct Answer: B
Rationale: Silver sulfadiazine can cause leukopenia, so monitoring white blood cell counts is essential.
A client with a history of anxiety is prescribed buspirone (Buspar). The nurse should teach the client that the medication:
- A. Takes 2 to 4 weeks to be effective
- B. Causes immediate sedation
- C. Is taken as needed for panic attacks
- D. May cause weight loss
Correct Answer: A
Rationale: Buspirone requires 2 to 4 weeks to achieve therapeutic effects for anxiety, unlike benzodiazepines, which act quickly.
A client reports having pain in his casted left arm that is unrelieved by pain medication. The nurse assesses the arm and notes that the fingers are swollen and difficult to separate. Which action is most appropriate for the nurse to take at this time?
- A. Administer morphine 2 mg intravenously
- B. Apply an ice bag to the fingers to relieve pain
- C. Elevate the arm on two pillows and reassess in 30 minutes
- D. Call the physician to report swelling and pain
Correct Answer: D
Rationale: Swelling and unrelieved pain in a casted arm suggest possible compartment syndrome, requiring immediate physician notification. Elevating the arm or applying ice may help but is secondary to reporting.