An 80-year-old client receiving corticosteroids for rheumatoid ...

[viki]

An 80-year-old client receiving corticosteroids for rheumatoid arthritis is admitted to the hospital for weakness and lethargy. The nurse should monitor the client's:
 
  a. weight. c. emotional status.
  b. potassium level. d. appetite.

Question 2

A client on corticosteroid therapy is returning from surgery after a hip replacement. In the past two hours his blood pressure has decreased from 126/76 to 104/60, he is restless and complains of a headache. The nurse should:
 
  a. medicate the client for pain as prescribed.
  b. notify the health care provider immediately.
  c. Increase his current intravenous fluid rate from 125 mL/hr to 150 mL/hr.
  d. Monitor his blood pressure and position him for comfort.

[stano32]

Answer to Question 1

ANS: B

Feedback
A Incorrect: Although the client's weight should be monitored, this is not the most important assessment and not likely to cause experienced symptoms.
B Correct: Clients, especially older adults on long-term corticosteroid therapy, should be monitored for decreased potassium, which can manifest as weakness, lethargy, and cardiac dysrhythmias.
C Incorrect: Monitoring the client's emotional status is not the highest priority.
D Incorrect: Monitoring the client's appetite is not a high priority in this client.

Answer to Question 2

ANS: B

Feedback
A Incorrect: These are manifestations of adrenal crisis requiring immediate medical care.
B Correct: These are manifestations of adrenal crisis requiring immediate medical care.
C Incorrect: Without a protocol or prescription, this is not within the nurse's scope of practice.
D Incorrect: These are manifestations of adrenal crisis requiring immediate medical care.

[viki]

Thank you!

[stano32]

Always glad to help...