Which assessment information obtained by the nurse indicates that ...

[anjilletteb]

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]

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.