A client is receiving dexamethasone (Decadron) therapy. What should the nurse plan to monitor in this client?

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Question 1 of 5

A client is receiving dexamethasone (Decadron) therapy. What should the nurse plan to monitor in this client?

Correct Answer: B

Rationale: Dexamethasone, a glucocorticoid, can cause hyperglycemia, requiring regular glucose monitoring.

Question 2 of 5

An 80 year-old nursing home resident has a temperature of 101.6 degrees Fahrenheit rectally. This is a sudden change in an otherwise healthy client. Which should the nurse assess first?

Correct Answer: C

Rationale: Sudden fever in the elderly can indicate delirium; assessing alertness first evaluates for acute neurological changes.

Question 3 of 5

The nasogastric tube of a post-op gastrectomy client has stopped draining greenish liquid. The nurse should

Correct Answer: B

Rationale: Normal saline irrigation (if ordered) clears blockages safely; distilled water risks electrolyte imbalance.

Question 4 of 5

The nurse is providing diet instruction to the parents of a child with cystic fibrosis. The nurse would emphasize that the diet should be high

Correct Answer: C

Rationale: CF requires high-calorie, high-protein diets with unrestricted fat to offset malabsorption.

Question 5 of 5

In order to be effective in administering cardiopulmonary resuscitation to a 5 year-old, the nurse must

Correct Answer: B

Rationale: For a 5-year-old, 1 breath every 5 compressions (30:2 ratio) aligns with pediatric CPR guidelines.

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