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NEW QUESTION 45
A client is started on prednisone 2.5 mg po bid. Which of the following instructions should be included in her discharge teaching specific to this medication?

• A. Immediately stop taking the prednisone if you feel depressed.
• B. Increase your oral intake of fluids to at least 4000 mL every day.
• C. Avoid contact with people who have contagious illnesses.
• D. Brush your teeth at least 4 times a day with a firm toothbrush.

Answer: C

Explanation:
Explanation
(A) Fluid retention is a side effect of prednisone. The nurse should teach clients to weigh themselves daily and to observe for signs of edema. If these signs of fluid retention occur, they should notify the physician. (B) Prednisone, a glucocorticoid, suppresses the normal immune response making the client more susceptible to infections. (C) An increase in bleeding tendencies is a side effect of prednisone therapy. The nurse should teach clients to use preventive measures (i.e., electric razors and soft toothbrushes). (D) Depression and personality changes are side effects of prednisone therapy. Prednisone should never be discontinued abruptly.

NEW QUESTION 46
A 26-year-old client is admitted to the labor, delivery, recovery, postpartum unit. The nurse completes her assessment and determines the client is in the first stage of labor. The nurse should instruct her:

• A. To push before becoming fully dilated
• B. To hold her breath during contractions
• C. Not to push with her contractions
• D. To be flat on her back

Answer: C

Explanation:
Explanation
(A) This nursing action may cause hyperventilation. (B) This nursing action could cause inferior vena cava syndrome. (C) The client is allowed to push only after complete dilation during the second stage of labor. The nurse needs to know the stages of labor. (D) If the client pushes before dilation, it could cause cervical edema and/or edema to the fetal scalp; both of these could contribute to increased risk of complications.

NEW QUESTION 47
A client is taught to eat foods high in potassium. Which food choices would indicate that this teaching has been successful?

• A. Chicken breast, rice, and green beans
• B. Tuna casserole, noodles, and spinach
• C. Roast beef, baked potato, and diced carrots
• D. Pork chop, baked acorn squash, brussel sprouts

Answer: D

Explanation:
(A) Both acorn squash and brussels sprouts are potassium-rich foods. (B) None of these foods is considered potassium rich. (C) Only the baked potato is a potassium-rich food. (D) Spinach is the only potassium-rich food in this option.

NEW QUESTION 48
When giving discharge instructions to a 24-year-old client who had a short-arm cast applied for a fractured right ulna, the nurse recognizes the importance of telling him that the drying time for a plaster of Paris cast is approximately:

• A. 30 minutes
• B. 24-72 hours
• C. 12-24 hours
• D. 1-4 hours

Answer: B

Explanation:
Explanation
(A) Synthetic cast materials harden in 3-15 minutes. Weight bearing is permitted in 15-30 minutes. Drying time for plaster of Paris is about 24-72 hours. (B, C) Plaster of Paris cast materials are heavier than synthetic materials and require a drying time of 24-72 hours. Synthetic materials dry within 30 minutes. (D) Plaster of Paris cast materials are heavier thansynthetic materials and require a longer period to set and dry. Even though setting time (hardening) is only 3-15 minutes, the drying time for plaster of Paris is 24-72 hours. This depends on the size and thickness of the cast, exposure to air, and humidity in the air.

NEW QUESTION 49
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