A patient with a spinal cord injury was given IV Decadron (dexamethasone) after arriving in the emergency department. The patient also has a history of hypoglycemia
During the hospital stay, the nurse would expect to see which response to this medication? 1. Increased episodes of hypoglycemia
2. Possible episodes of hyperglycemia
3. No change in the patient's glycemic parameters
4. Both hyper- and hypoglycemic episodes
2
Rationale 1: Another side effect is more common than hypoglycemia.
Rationale 2: A common side effect of corticosteroids is hyperglycemia. Stress as well as the medication could cause periods of elevated blood sugars.
Rationale 3: Corticosteroids commonly have an effect on serum glucose.
Rationale 4: Corticosteroids do not both increase and decrease serum glucose.
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When working with a client who is attempting to lose weight, which of the following suggestions by the nurse might assist the client in being compliant with the prescribed diet?
1. Eat alone to reduce outside distractions. 2. Drink water or a diet beverage after eating to promote feelings of fullness. 3. Allow at least 45 minutes to 1 hour to promote full enjoyment of a meal. 4. Set aside small nonfood rewards when you meet a goal.
The nurse is an advocate for health promotion activities. Which nursing actions demonstrate this nurse's advocacy?
1. Participating in a community-focused 5-mile run. 2. Attending the local high school's football games. 3. Providing an educational program to senior citizens on blood pressure–control strategies. 4. Attending a community meeting that is promoting the creating of a walking path in the city park. 5. Encouraging an anxious client to practice relaxation techniques.
A patient wants to discuss birth control options. She is a 36-year-old woman who is in a long-term, monogamous relationship
She runs 2 miles a day but also smokes a pack of cigarettes a day. Which birth control method should the nurse discourage her from using? A) Combination oral contraceptives B) Condoms C) Coitus interruptus D) Spermicides
Implementation of the nursing treatment plan for the client with bulimia may include which of the following?
A) Increasing coping skills for anxiety B) Teaching good eating habits C) Encouraging isolation from peers for a time D) Meeting dependency needs