What should the nurse include in a teaching plan for a mother of a toddler who will be taking prednisone for several months?
a. The medication should be taken between meals.
b. The medication needs to be discontinued because of the risks associated with long-term usage.
c. The medication should not be stopped ab-ruptly.
d. The medication may lower blood glucose so the mother needs to observe the child for signs of hypoglycemia.
C
The dosage must be tapered before the drug is discontinued to allow the gradual return of function in the pituitary-adrenal axis. Prednisone should be taken with food to minimize or prevent gastrointestinal bleeding. Although there are adverse effects from long-term steroid use, the medication must not be discontinued without consulting a physician. Acute adrenal insufficiency can occur if the medication is withdrawn abruptly. The dosage needs to be tapered. The medication puts the child at risk for hyperglycemia, not hypoglycemia.
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The nurse is completing her assessment of an older adult and notices some cognitive impairment not normally associated with aging. Which of these alterations would prompt further follow-up? (Select all that apply.)
a. The patient does not remember where her son lives. b. The patient is unable to balance her checkbook. c. The patient got lost in a city she never traveled to before. d. The patient often has difficulty remembering words. e. The patient got lost going to her usual grocery store.
The nurse counsels a patient that the administration of thrombolytic drugs would be contraindi-cated in the patient who is:
a. hypotensive. b. being treated for a bleeding ulcer. c. presently taking warfarin (Coumadin). d. prone to asthma attacks.
A clinic nurse is conducting a staff in-service for other clinic nurses about signs and symptoms of a rhabdomyosarcoma tumor. Which should be included in the teaching session? (Select all that apply.)
a. Bone fractures b. Abdominal mass c. Sore throat and ear pain d. Headache e. Ecchymosis of conjunctiva
Select the group of drug agents that are listed in increasing order of their duration of action.
A. Tiotropium (Spiriva), Albuterol (Proventil), Salmeterol/fluticasone (Advair) B. Albuterol (Proventil), Salmeterol/fluticasone (Advair), Tiotropium (Spiriva) C. Albuterol (Proventil), Tiotropium (Spiriva), Salmeterol/fluticasone (Advair) D. Salmeterol/fluticasone (Advair), Albuterol (Proventil), Tiotropium (Spiriva)