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Question 1 of 5

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?

Correct Answer: B

Rationale: 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. Prednisone, a glucocorticoid, suppresses the normal immune response making the client more susceptible to infections. 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). Depression and personality changes are side effects of prednisone therapy. Prednisone should never be discontinued abruptly.

Question 2 of 5

A client scheduled for disc surgery tells the nurse that she frequently uses the herbal supplement kava-kava (piper methysticum). The nurse should notify the doctor because kava-kava:

Correct Answer: A

Rationale: Kava-kava can potentiate the effects of anesthesia and analgesics, increasing the risk of excessive sedation or respiratory depression, necessitating physician awareness.

Question 3 of 5

A client with a history of hyperparathyroidism is admitted with complaints of fatigue. The nurse should expect the client to have:

Correct Answer: A

Rationale: Hyperparathyroidism increases parathyroid hormone, leading to hypercalcemia, causing fatigue and other symptoms.

Question 4 of 5

Which statement is true regarding therapy with Levemir (insulin detemir)?

Correct Answer: D

Rationale: Levemir (insulin detemir) is a long-acting insulin with a duration of up to 24 hours, used for basal coverage. Its onset is 1–2 hours, but it has no distinct peak, and it should not be mixed with other insulins.

Question 5 of 5

Which stage of labor lasts from delivery of the baby to delivery of the placenta?

Correct Answer: B

Rationale: This stage is from complete dilatation of the cervix to delivery of the fetus. This is the correct stage for the definition. This stage lasts for about 2 hours after the delivery of the placenta. There is no fifth stage of labor.

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