The client is taking exogenous cortisol, in the form of prednisone, daily for a temporary pulmonary inflammation. She tells the nurse that she is upset about her moon-shaped face and fat body. What is the nurse's best response?
A. "Don't worry; this is only water retention, not true fat."
B. "Increasing your exercise will help change the shape of your face."
C. "When you come off the drug, your body fat will change back to normal over time."
D. "Obviously, you are not following the dietary restrictions recommended to you."
C
The moon face and truncal obesity side effects of prednisone therapy are caused by changes in fat distribution and are affected little, if at all, by diet or exercise. These effects do resolve when therapy is discontinued, but it could take months to years before the fat distribution returns to normal.
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A nurse is preparing to administer a medication in tablet form to a client who has difficulty swallowing. Which of these actions should the nurse take?
a. Crush the tablet into a powder, and mix it with a small amount of applesauce. b. Ensure the tablet is not enteric-coated or time-released before crushing it. c. Administer the tablet with extra amounts of liquid. d. Substitute a liquid form of the medication for the tablet.
When a nurse asks questions like, "What day is today?" or "What time is it now?" the nurse is testing the patient's _____
Fill in the blank(s) with correct word
A pregnant patient tells the nurse that she is not happy to learn about the pregnancy. At which point in the pregnancy does the nurse realize that the patient will change her mind about the pregnancy?
A) Around the third month B) After the seventh month C) When quickening occurs D) After lightening happens
A 75-year-old client expresses concern over not being eligible for home health visits. The nurse explains to the client that the elderly are entitled to home care under which of the following legislation?
A) diagnosis-related groups (DRGs) B) Omnibus Reconciliation Act C) Medicaid Act D) Medicare Act