« previous next »

Author Question: Which assessment information obtained by the nurse indicates that a patient with an exacerbation of ... (Read 76 times)

anjilletteb

  • Hero Member
  • *****
  • Posts: 569
on: Jun 25, 2018
Which assessment information obtained by the nurse indicates that a patient with an exacerbation of rheumatoid arthritis (RA) is experiencing a side effect of prednisone (Deltasone)?
 
  a. The patient has joint pain and stiffness.
  b. The patient's blood glucose is 165 mg/dL.
  c. The patient has experienced a recent 5-pound weight loss.
  d. The patient's erythrocyte sedimentation rate (ESR) has increased.

Question 2

The nurse determines that additional instruction is needed when a patient diagnosed with scleroderma says which of the following?
 
  a. Paraffin baths can be used to help my hands.
  b. I should lie down for an hour after each meal.
  c. Lotions will help if I rub them in for a long time.
  d. I should perform range-of-motion exercises daily.


matt

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
Corticosteroids have the potential to cause diabetes mellitus. The finding of an elevated blood glucose reflects this side effect of prednisone. Corticosteroids increase appetite and lead to weight gain. An elevated ESR and no improvement in symptoms would indicate that the prednisone was not effective but would not be side effects of the medication.

Answer to Question 2

ANS: B
Because of the esophageal scarring, patients should sit up for 2 hours after eating. The other patient statements are correct and indicate that the teaching has been effective.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Certain rare plants containing cyanide include apricot pits and a type of potato called cassava. Fortunately, only chronic or massive ingestion of any of these plants can lead to serious poisoning.

Did you know?

When blood is deoxygenated and flowing back to the heart through the veins, it is dark reddish-blue in color. Blood in the arteries that is oxygenated and flowing out to the body is bright red. Whereas arterial blood comes out in spurts, venous blood flows.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Patient teaching: nose and sinus assessment Patient teaching: nose and sinus assessment
Assessment by Domain Assessment by Domain
The vehicle emissions control information (VECI) sticker is placed under the hood. The vehicle emissions control information (VECI) sticker is placed under the hood.
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
Medical Gymnasts Assist Patient in Performing Movements, 1909. Medical Gymnasts Assist Patient in Performing Movements, 1909.
Video: Cellular defenses (natural killer cells, phagocyte types & process of phagocytosis)

For a complete list of videos, visit our video library