Author Question: A patient has been prescribed corticosteroid therapy for the treatment of severe osteoarthritis. The ... (Read 32 times)

Pineappleeh · **on:** Jul 23, 2018

A patient has been prescribed corticosteroid therapy for the treatment of severe osteoarthritis. The nurse evaluates that teaching about this drug is understood if the patient makes which statement?

1. If I get sick and cannot take my medicine for more than 3 days, I will contact my health care provider.
2. I will take my medication at the same time every day.
3. I will take my medication with food or a meal.
4. I will avoid dairy products while taking this medication.
5. If I notice my vision is changing, I will contact my health care provider.

Question 2

Which nursing statement regarding onset of action for zolpidem (Ambien) is the most appropriate?

1. Rapidly, and should be taken just before bedtime
2. Four hours after dosing
3. Sixty minutes after dosing
4. Two hours after dosing

dreamfighter72 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2,3,5
Rationale 1: The patient should not stop the corticosteroid abruptly and should contact the health care provider if unable to take the medication for over 1 day.
Rationale 2: The patient should take this medication regularly and at the same time every day.
Rationale 3: Taking the medication with food or a meal will help to reduce gastric upset.
Rationale 4: There is no reason to avoid dairy products when taking this medication.
Rationale 5: Corticosteroids may cause increased intraocular pressure and an increased risks of glaucoma and may cause cataracts.

Global Rationale: The patient should take this medication regularly and at the same time every day. There is no reason to avoid dairy products when taking this medication. Corticosteroids may cause increased intraocular pressure and an increased risk of glaucoma and may cause cataracts. The patient should not stop the corticosteroid abruptly and should contact the health care provider if unable to take the medication for over 1 day. There is no reason to avoid dairy products when taking this medication.

Answer to Question 2

1

Rationale 1: Zolpidem (Ambien) begins to work rapidly, and should be taken just before bedtime.
Rationale 2: This medication works rapidly, and should be taken just before bedtime.
Rationale 3: This medication works rapidly, and should be taken just before bedtime.
Rationale 4: This medication works rapidly, and should be taken just before bedtime.

Global Rationale: Zolpidem (Ambien) begins to work rapidly, and should be taken just before bedtime. Four hours after dosing, 60 minutes after dosing, and two hours after dosing are not appropriate statements.