The nurse is providing teaching for a patient who will use intranasal dexamethasone (Decadron) after discharge home from the hospital. What information is important to include when teaching this patient about this drug?
a. "Dexamethasone may be used for year-round symptoms."
b. "Dexamethasone should be discontinued after 30 days."
c. "Dexamethasone should not be taken with antihistamines."
d. "Dexamethasone should not cause systemic steroid side effects."
ANS: B
Dexamethasone should not be used longer than 30 days because longer use increases the risk of systemic side effects. Dexamethasone should not be used year-round. It may be used in conjunction with antihistamines. Systemic side effects may occur.
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The partner of a client comments that, "Our sex life will certainly suffer now that he's had a heart attack." Which statement is the basis for the nurse's response?
a. The client should no longer have sexual relations because of the demand on his heart. b. The energy expenditure during sex is equivalent to briskly climbing six flights of stairs. c. People with heart disease reduce their sexual activity out of fear of their con-dition. d. The couple will benefit from attending a cardiac support group.
If the examiner had difficulty visualizing the cervix with initial insertion of the speculum, the examiner should close the blades and perform which action?
1) Withdraw the speculum 2 to 3 cm and reinsert at a different angle. 2) Push the speculum farther into the vagina 4 to 6 cm and rotate the blades. 3) Remove the speculum and obtain a larger speculum. 4) Remove the speculum and document that the exam could not be completed.
A woman using the cervical mucus ovulation method of fertility awareness reports that her cervical mucus looks like egg whites. The nurse interprets this as which of the following?
A) Spinnbarkeit mucus B) Purulent mucus C) Postovulatory mucus D) Normal preovulation mucus
Which of the following hormones causes ovulation as a result of a surge in its level?
A. Progesterone B. LH C. GnRH D. FSH