The nurse should question a prescription for high-dose corticosteroids for a patient with
a. uncontrolled diabetes mellitus.
b. rheumatoid arthritis.
c. status asthmaticus.
d. exacerbation of chronic obstructive pulmonary disease (COPD).
A
High-dose steroids would further complicate a hyperglycemic state.
High-dose corticosteroids are used in rheumatoid arthritis.
High-dose corticosteroids are used in status asthmaticus.
High-dose corticosteroids are used for an exacerbation of COPD.
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The nurse is interviewing a female client who reports a frothy, yellow-green discharge. The nurse would suspect which of the following conditions in this situation?
1. Vaginitis 2. Trichomoniasis 3. Gonorrhea 4. Chlamydia
The nurse is caring for a client with hydramnios. What will the nurse watch for?
1. Possible intrauterine growth restriction 2. Newborn congenital anomalies 3. Newborn postmaturity and renal malformations 4. Fetal adhesions
An immobilized client is suspected of having atelectasis. This is assessed by the nurse upon aus-cultation as:
1. Harsh crackles 2. Wheezing on inspiration 3. Diminished breath sounds 4. Bronchovesicular whooshing
Which client statement indicates that teaching about hydrocortisone replacement therapy has been ineffective?
1. "I should take aspirin if I develop a fever." 2. "I should report any wounds that are slow to heal to the health care provider." 3. "I might gain a small amount of weight." 4. "I should avoid alcohol and caffeine."