A client has cortisol deficiency and is being treated with prednisone (Deltasone). Which instruction by the nurse is most appropriate?
a. "You will need to learn how to rotate the injection sites."
b. "If you work outside when it's hot, you may need another drug."
c. "Be sure to stay on your salt restriction even though it's difficult."
d. "Take one tablet in the morning and two tablets at night to start."
B
Steroid dosage adjustment may be needed and might be difficult, especially in hot weather, when the client is sweating a great deal more than normal. Clients take prednisone orally, have no need for a salt restriction, and usually start the regimen with two tablets in the morning and one at night.
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When working with a client who has exhibited a pattern of violent outbursts followed by remorse, a nurse's plan of care should focus on:
1. Decreasing the client's stressors. 2. Developing effective anger management techniques. 3. Offering the client family counseling. 4. Identifying the client's strengths.
A patient with a seizure disorder asks why bright spots are always seen before experiencing a seizure. What is your best response?
a. "Some people experience a strange sensation called an aura before each seizure." b. "This is an unusual occurrence. I will notify your prescriber right away." c. "Bright spots before a seizure could indicate pressure in your brain from a tumor." d. "After the seizure do you feel confused, lethargic, and unable to respond to people?"
A client has weakness of the left arm and hand after a stroke. Which is the best nursing intervention to help maintain the client's self-esteem during feeding?
1. Delegate feeding to minimize the amount of food spilled. 2. Encourage the client with self-feeding as much as possible. 3. Ensure that all foods come mechanically altered to take by straw. 4. Collaborate with speech therapy to improve client communication.
A patient has an infection of the eyelash follicles and in the gland on the eyelid margin. The nurse recognizes these symptoms as being consistent with which condition?
a. Blepharitis b. Chalazion c. Endophthalmitis d. Hordoleum