Author Question: Which statement by a patient during education by the nurse best demonstrates understanding of ... (Read 93 times)

j.rubin · **on:** Jul 23, 2018

Which statement by a patient during education by the nurse best demonstrates understanding of glucocorticoids?

a. They can reduce glucose levels.
b. They can promote bone loss in premenopausal women.
c. They should not be taken with milk, but with vitamin C.
d. They can promote bone loss in postmenopausal women.

Question 2

Which statement made by a patient indicates the need for further teaching about the use of diphenhydramine (Benadryl) for the treatment of allergic rhinitis?

a. This drug will help reduce nasal itching but not nasal congestion.
b. I should start taking the antihistamine as soon as my symptoms appear.
c. I'll need to be careful, because this medication may make me sleepy.
d. I may develop a dry mouth from this medication.

wuly · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Oral glucocorticoids promote bone loss in premenopausal women. This statement best demonstrates understanding.
Glucocorticoids increase glucose levels and may be taken with milk; further teaching is needed.
Oral glucocorticoids do not promote bone loss in postmenopausal women, but they do in premenopausal women; further teaching is needed.

Answer to Question 2

ANS: B
For treatment of allergic rhinitis, antihistamines, such as diphenhydramine, are most effective when taken prophylactically and are less helpful when the symptoms appear. This statement indicates that further teaching is required.
Diphenhydramine is effective against sneezing, rhinorrhea, and nasal itching. It does not reduce nasal congestion. No further teaching is required.
The most common complaint with antihistamines is sedation, which often occurs with first-generation antihistamines, such as diphenhydramine. No further teaching is required.
Anticholinergic side effects, such as constipation, urinary retention, and dry mouth, commonly occur with first-generation antihistamines. No further teaching is required.