Correct Answer: D

Rationale: The correct answer is D: Bone loss. Prednisone is a corticosteroid that can lead to osteoporosis and increased risk of fractures due to its negative effects on bone density. The long-term use of prednisone can cause bone loss by interfering with the normal bone remodeling process, leading to decreased bone formation and increased bone resorption. Monitoring for bone loss in older adults taking prednisone is crucial to prevent fractures and osteoporosis.

A: Hemolytic anemia is not a common adverse effect of prednisone.
B: Hypoglycemia is more commonly associated with insulin or certain oral hypoglycemic medications, not prednisone.
C: Liver toxicity is a potential adverse effect of some medications, but it is not a primary concern with prednisone.
E, F, G: These choices are not provided in the question.

Correct Answer: C

Rationale: The correct answer is C: Bupropion. Bupropion is a medication commonly prescribed to help individuals quit smoking as it reduces cravings and withdrawal symptoms. It works by affecting the levels of neurotransmitters in the brain. Naloxone (
A) is used to reverse opioid overdose, not for smoking cessation. Alprazolam (
B) is a benzodiazepine used for anxiety, not smoking cessation. Melatonin (
D) is a hormone used to regulate sleep-wake cycles, not for smoking cessation. In summary, Bupropion is the correct choice for smoking cessation due to its specific mechanism of action and effectiveness in reducing cravings and withdrawal symptoms.

Correct Answer: C

Rationale: The correct answer is C: Insert the medication against the mucous membrane of the cheek. This method is appropriate for administering fentanyl buccal film because it is designed to be absorbed through the mucous membranes in the mouth, providing rapid onset of pain relief. Placing the film against the cheek allows for direct absorption into the bloodstream. Dissolving the medication in water (choice
A) would alter its intended route of administration and potentially reduce its effectiveness. Instructing the client to swallow the medication (choice
B) would also change the intended absorption site and delay onset of action. Placing the medication on the tongue for dissolution (choice
D) would not ensure proper absorption through the buccal mucosa.
Therefore, choice C is the correct method for administering fentanyl buccal film in a hospice care setting.

Correct Answer: D

Rationale: The correct answer is D: Compare the current and newly prescribed medications and note any discrepancies. This is crucial for ensuring the client's safety during the transition to the rehabilitation facility. By comparing the medications, the nurse can identify any potential errors or omissions in the prescribed regimen, preventing adverse drug interactions or duplications. This step helps in maintaining medication accuracy and preventing medication-related issues.


Choice A is incorrect because including medications from surgery can be misleading and irrelevant to the current medication regimen.
Choice B is incorrect as it does not directly address the verification of medications.
Choice C is important but not the primary focus during medication reconciliation. It is crucial to educate the client, but the main task is to ensure medication accuracy.

Correct Answer: C

Rationale: The correct answer is C: Creatinine 2.5 mg/dL. In a client taking cyclosporine, monitoring creatinine levels is crucial as cyclosporine can cause nephrotoxicity. An elevated creatinine level indicates impaired kidney function, which can be a serious side effect of cyclosporine.


Choice A (Sodium 139 mEq/L) is within normal range and not typically affected by cyclosporine.


Choice B (BUN 18 mg/dL) measures kidney function but is not as sensitive as creatinine for detecting nephrotoxicity.


Choice D (Potassium 4.2 mEq/L) is also within normal range and not directly related to cyclosporine use.


Therefore, the nurse should report the elevated creatinine level to the provider for further evaluation and management.