Methylprednisolone is added to a client's chemotherapeutic regimen. Which effects would the nurse expect if the drug is taken long term?
Standard Text: Select all that apply.
1. Hyperglycemia
2. Fluid retention
3. Hypotension
4. Osteoporosis
5. Mental status changes
Correct Answer: 1,2,4,5
Rationale 1: Hyperglycemia could occur due to increased glucose metabolism.
Rationale 2: Fluid retention could occur due to sodium and water retention.
Rationale 3: Hypertension, not hypotension, is more likely to occur.
Rationale 4: Osteoporosis can occur due to bone resorption.
Rationale 5: Mental changes can occur due to fluid retention.
Global Rationale: The long-term adverse effects of corticosteroids are serious and include osteoporosis, cataract formation, mental status changes, fluid and salt retention, HTN, hyperglycemia, obesity, and adrenal atrophy. Because of their long-term effects, health care providers have begun to look at the possibility of eliminating corticosteroids from the transplant regimen. Hypotension is not related to this therapy.
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A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder. A key feature of this condition is that the:
a. Affected extremity will eventually regain its function. b. Pain is felt at one site but originates from another location. c. Patient's pain will be associated with nausea, pallor, and diaphoresis. d. Slightest touch, such as a sleeve brushing against her arm, causes severe and intense pain.
How is the infant with gastroesophageal reflux (GER) typically treated?
a. By making the infant NPO b. By thickening the formula or breast milk with cereal c. By placing the infant to sleep on the side d. By switching the infant to cow's milk
The nurse is caring for a client with oliguria. When instructing the client on the process of urine formation, place the following in correct sequence. Use all options
A) Products enter the Bowman's capsule B) Drains from the collecting tubules C) Filtration of plasma by glomerulus D) Moves through the nephrons and is absorbed or excreted E) Flows into the renal pelvis and down the ureter F) Drains into the bladder then out the urethra
A client asks the nurse for advice regarding complementary therapy for premenstrual symptoms. What action is appropriate?
a. Advise the client to avoid such therapies because they may interfere with her current medical regimen. b. Discuss reducing sugar, caffeine, dairy products, and animal fats. c. Recommend the use of bilberry and chamomile to decrease PMS symptoms. d. Suggest the use of aromatherapy, such as lavender applied to the skin.