Graded A+
1. An 18-month-old child develops an urticarial reaction after a transfusion. The
prescriber orders intravenous promethazine [1ST GENERATION]. What will the
nurse do?
Give the medication as ordered.
Request an order to give the drug orally.
Question the order.
Monitor the child for bronchoconstriction.
2. Discuss how the side effects of antiobesity drugs can impact a patient's
willingness to continue treatment.
Patients are more likely to continue treatment if they experience side
effects.
Patients often ignore side effects and continue treatment.
Side effects such as gastrointestinal disturbances can lead to
discomfort, causing patients to discontinue the medication.
Side effects have no impact on patient compliance.
3. What factors influence the occurrence of side effects when using
glucocorticoids?
Dose and duration of treatment
Type of glucocorticoid used
Frequency of administration
Patient's age and weight
,4. A patient with a history of systemic fungal infection is prescribed prednisone
for an unrelated condition. What should the nurse prioritize in this situation?
Consulting with the healthcare provider about alternative
treatments.
Educating the patient on the benefits of prednisone for tendonitis.
Administering the medication as prescribed without concern.
Monitoring the patient for allergic reactions only.
5. Why is it important for a nurse to advise a patient on lorcaserin [Belviq] to
monitor their blood glucose levels more frequently?
Lorcaserin can affect blood glucose levels, requiring more frequent
monitoring.
Lorcaserin is primarily used for weight loss and has no effect on blood
glucose.
Increased physical activity is the only factor affecting blood glucose
levels.
Monitoring blood glucose is only necessary for patients with type 1
diabetes.
6. A patient who requires long-term glucocorticoid therapy complains of
edema. Which instruction would the nurse give?
Discontinue the glucocorticoid
Take the glucocorticoid every 3-4 days instead of daily
Restrict sodium intake
Augment the diet with calcium supplements
,7. What education should the nurse provide to a client on long-term
glucocorticoid therapy to minimize the risk of osteoporosis?
Emphasizing the importance of regular exercise, vitamin D, and
calcium supplementation.
Limiting vitamin D and calcium intake to prevent interactions with
glucocorticoids.
Advising against weight-bearing activities to avoid bone strain.
Encouraging sedentary behavior to prevent stress on bones.
8. What is the recommended method for tapering off glucocorticoids?
Stopping the medication abruptly.
Gradually reducing the dose under medical supervision.
Reducing the dose by half each day.
Continuing the same dose indefinitely.
9. What is the primary effect of hydroxyzine [Vistaril] in the treatment of acute
urticaria?
It will cause significant sedation.
It will have no effect on urticaria.
It will reduce redness and itching but not edema.
It will increase swelling and redness.
10. Why might every-other-day dosing be beneficial for a child receiving
glucocorticoids?
It eliminates the need for monitoring the child's growth.
It allows for better absorption of the drug.
, It may help reduce the risk of growth suppression associated with
glucocorticoid therapy.
It ensures the child receives a higher dose of medication.
11. Describe the importance of multivitamin supplementation for patients on
orlistat therapy.
Multivitamins are only needed if the patient experiences side effects.
Patients on orlistat may need multivitamins to prevent deficiencies
in fat-soluble vitamins due to reduced absorption.
Patients should take multivitamins to increase the effectiveness of
orlistat.
Multivitamins are unnecessary for patients on orlistat since the drug
does not affect vitamin levels.
12. What is the primary purpose of antiobesity drugs?
To treat allergies
To reduce inflammation
To assist in weight management
To manage diabetes
13. A patient will begin taking fexofenadine [Allegra] for hay fever. The nurse
teaching this patient will tell the patient that:
fexofenadine should be taken with food to prevent gastrointestinal
(GI) symptoms.
with renal impairment, this drug should be taken every other day.
the medication may be taken once or twice daily.