The prescriber has written an order for a patient to be discharged home on triamcinolone acetonide (Azmacort). About what common side effects of this medication should the nurse forewarn the patient?

a. Fatigue and edema
b. Anxiety and dysphagia
c. Headache and rapid heart rate
d. Oral candidiasis and dysphonia


ANS: D
The most common adverse effects associated with inhaled glucocorticoids are oropharyngeal candidiasis and dysphonia.
Fatigue and edema are not common side effects.
Anxiety and dysphasia are not associated with inhaled glucocorticoids.
Headache and a rapid heart rate are not common side effects of glucocorticoids.

Nursing

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A 42-year-old male patient has had a herniorrhaphy to repair an incarcerated inguinal hernia. Which patient teaching will the nurse provide before discharge?

a. Soak in sitz baths several times each day. b. Cough 5 times each hour for the next 48 hours. c. Avoid use of acetaminophen (Tylenol) for pain. d. Apply a scrotal support and ice to reduce swelling.

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During a postpartum assessment, the nurse notes a bluish discoloration and numbness of the woman's episiotomy. The most appropriate nursing action is to:

a. Notify the health care provider. b. Document the findings as normal. c. Prepare the woman for a sitz bath. d. Reassure the woman that this is normal healing.

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Group therapy for adolescent inpatients competently conducted from an interpersonal perspective has been proven to promote:

a. reenactments of dysfunctional interactions experienced during home and school life b. peer pressure from group members to "play the game" to be discharged c. healthy exploration, change, and empowerment that can be applied to other relationships d. dominant group members using personal information against nondominant members

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The nurse is reviewing the pt's hx, assessment findings, and lab results for a pt with suspected kidney problems. which manifestations is the main feature of nephrotic syndrome?

a. flank asymmetry b. proteinuria greater than 3.5 g of protein in 24 hours c. serum sodium 148 mmol/L d. serum cholesterol (total) 190 mg/dL

Nursing