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Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison's disease?
- A. Discuss the importance of tapering medications when discontinuing medication
- B. Explain the dose may need to be increased during times of stress or infection
- C. Instruct the client to take medication on an empty stomach with a glass of water
- D. Encourage the client to wear clean white socks when wearing tennis shoes
Correct Answer: B
Rationale: Stress or infection increases cortisol demand; dose adjustment prevents adrenal crisis.
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The client diagnosed with acute herpes zoster is prescribed oral acyclovir. Which statement by the client indicates the client needs more medication teaching?
- A. I am so glad this medication will cure my shingles.'
- B. I will have to take the pill five times a day.'
- C. I should take this medication for 7 to 10 days.'
- D. If the shingles gets near my eyes, I will call my HCP.'
Correct Answer: A
Rationale: Acyclovir shortens symptoms but doesn't cure herpes zoster, indicating a need for more teaching. Five times daily, 7-10 days, and eye involvement awareness are correct.
A 38-year-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?
- A. History of sun exposure by the patient
- B. Method of birth control used by the patient
- C. Length of time the patient has used fluorouracil
- D. Appearance of the treated areas on the patients face
Correct Answer: B
Rationale: Because fluorouracil is teratogenic, it is essential that the patient use a reliable method of birth control. The other information is also important for the nurse to obtain, but lack of reliable birth control has the most potential for serious adverse medication effects.
Which recommendation should the nurse suggest to an elderly client who lives alone when discussing normal developmental changes of the olfactory organs?
- A. Suggest installing multiple smoke alarms in the home.
- B. Recommend using a night light in the hallway and bathroom.
- C. Discuss keeping a high-humidity atmosphere in the bedroom.
- D. Encourage the client to smell food prior to eating it.
Correct Answer: A
Rationale: Decreased olfactory function with aging impairs smoke detection; multiple smoke alarms enhance safety for an elderly client living alone.
A nurse assesses a client and identifies that the client has pallor conjunctivae. Which focused assessment should the nurse complete next?
- A. Partial thromboplastin time
- B. Hemoglobin and hematocrit
- C. Liver enzymes
- D. Basic metabolic panel
Correct Answer: B
Rationale: Pallor conjunctivae signifies anemia. The nurse should assess the client's hemoglobin and hematocrit to confirm anemia. The other laboratory results do not relate to this client's potential anemia.
A nurse cares for clients who have various skin infections. Which infection is paired with the correct pharmacologic treatment?
- A. Viral infection - Clindamycin (Cleocin)
- B. Bacterial infection - Acyclovir (Zovirax)
- C. Yeast infection - Linezolid (Zyvox)
- D. Fungal infection - Ketoconazole (Nizoral)
Correct Answer: D
Rationale: Ketoconazole is an antifungal, correctly paired with fungal infection.