Pharm Respiratory

573) The nurse is teaching the parents of a child prescribed a high dose of oral prednisone for asthma. Which information is critical for the nurse to include when teaching about this medication? It protects against infection. It should be stopped gradually. An early growth spurt may occur. A moon-shaped face will develop.

It should be stopped gradually.

1173) A male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently. Which is the nurse's initial action? Have the client assessed for an enlarged prostate. Obtain a urine specimen from the client to test for ketonuria. Perform a finger stick to test the client's blood glucose level. Assess the client's lower extremities for the presence of pitting edema.

Perform a finger stick to test the client's blood glucose level.

603) The nurse is administering hydroxyzine to a client. The nurse would monitor the client for which side effect of this medication? Ataxia Drowsiness Vertigo Slurred speech

Drowsiness

The nurse is caring for a client who is receiving a continuous intravenous heparin infusion. The client's most recent activated partial thromboplastin time (aPTT) is 120 seconds. Which medication should the nurse plan to administer? Question 8 Answer Choices A Protamine B Naloxone C Vitamin K D Enoxaparin

A Protamine

644) Which complication is an adverse effect of cortisone therapy? Hypoglycemia Severe anorexia Anaphylactic shock Behavioral changes

Behavioral changes

1126) The surgeon prescribes vitamin K before surgery. The nurse recognizes that this is prescribed because vitamin K contributes to the formation of which substance? Bilirubin Prothrombin Thromboplastin Cholecystokinin

Prothrombin

1499) Which nursing assessment is important for a school-age child undergoing long-term steroid therapy? Monitoring pulse for irregularities Testing of stools for occult blood Inspection of urine for mucous threads Check of oral mucous membranes for ulcers

Testing of stools for occult blood

A client being discharged is prescribed warfarin for the treatment following a pulmonary embolism. Which diagnostic test should the nurse instruct the client to receive once a month? A. Perfusion scan. B. Prothrombin Time (PT). C. Activated partial thromboplastin (aPTT). D. Serum Coumadin level (SCL).

B. Prothrombin Time (PT).

The client has been treated with long-term glucocorticoid therapy. While completing the physical assessment, which finding should the nurse expect? Question 9 Answer Choices A Jaundice B Peripheral edema C Buffalo hump D Increased muscle mass

C Buffalo hump

The nurse is preparing a client with rheumatoid arthritis (RA) for discharge to an assisted living facility. Which statement about the prescribed oral glucocorticoid is correct? Question 18 Answer Choices A"The medication will reverse the joint deterioration of RA." B"You will be taking the medication for several years." C"It is normal to experience some memory loss or hallucinations." D"The medication will be gradually tapered off over 5 to 7 days."

D"The medication will be gradually tapered off over 5 to 7 days."

1221) A client develops a deep vein thrombophlebitis in her leg 3 weeks after giving birth and is admitted for anticoagulant therapy. The nurse would anticipate developing a teaching plan for which anticoagulant? Heparin Warfarin Clopidogrel Enoxaparin

Heparin

The nurse is teaching a client about newly prescribed inhaled budesonide. The nurse should teach the client to report which finding to the healthcare provider? Question 5 Answer Choices A Rounded face B Bradycardia C thirst Increased D Cough

A Rounded face

Question 9 A client who had surgery is discharged on warfarin. Which statement by the client is incorrect and indicates a need for further teaching? Question 9 Answer Choices A"I will report any bruises or unusual bleeding." B"I know I must avoid crowds." C"I plan on using an electric razor for shaving." D"I will keep all laboratory appointments."

B"I know I must avoid crowds."

The nurse is reinforcing the correct use of a metered-dose inhaler (MDI) for a client newly-diagnosed with asthma. The client asks, "how will I know the canister is empty?" What is the best response by the nurse? Question 2 Answer Choices A"Contact your pharmacy to find out when to obtain a refill." B"Drop the canister in water to observe if it floats." C"Count the number of doses as the inhaler is used." D"Shake the canister and listen for any fluid movement."

C "Count the number of doses as the inhaler is used."

A client who is 34 weeks gestation is diagnosed with a pulmonary embolism. Which of these medications should the nurse plan to administer? Question 7 Answer Choices A Oral low-dose aspirin B Oral warfarin C Intravenous heparin DSubcutaneous enoxaparin

C Intravenous heparin

917) A client who is on long-term corticosteroid therapy after an adrenalectomy is admitted to the surgical intensive care unit after being involved in a motor vehicle crash. Which statement is an important concern for client safety? The dosage of steroids will have to be tapered down slowly to prevent acute adrenal crisis. Steroid therapy will need to be increased to avert a life-threatening crisis. Osteoporosis secondary to long-term corticosteroids increases fracture risk. The client is at risk for Cushing syndrome if taking long-term corticosteroid therapy.

Steroid therapy will need to be increased to avert a life-threatening crisis.

The nurse is preparing to administer prescribed warfarin to a client with a mechanical heart valve. Which finding should the nurse report to the healthcare provider? Question 12 Answer Choices A The INR is 3.0. B The peripheral IV site has been oozing blood. C The aPTT is 30. D The client has cola-colored urine.

D The client has cola-colored urine.

1519) An adolescent is prescribed phenylephrine nasal spray. The nurse would determine teaching has been effective when the adolescent identifies which complication that may occur if the spray is used more frequently or longer than recommended? Tinnitus Nasal polyps Bleeding tendencies Increased nasal congestion

Increased nasal congestion

1068) The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the health care provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule? One hour before or 2 hours after eating At bedtime At the specific time prescribed Daily until symptoms are gone

At the specific time prescribed

345) Which intervention would the nurse implement for a client admitted for an exacerbation of asthma? Determine the client's emotional state. Give prescribed medications to promote bronchiolar dilation. Provide education about the effect of a family history. Encourage the client to use an incentive spirometer routinely.

Give prescribed medications to promote bronchiolar dilation

961) The nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication would the nurse expect to be prescribed for this client? Methimazole Regular insulin Pituitary extract Hydrocortisone

Hydrocortisone

972) Which effect explains the purpose for gradual dosage reduction of glucocorticoids such as dexamethasone? Builds glycogen stores in the muscles Produces antibodies by the immune system Allows the increased intracranial pressure to return to normal Promotes return of cortisone production by the adrenal glands

Promotes return of cortisone production by the adrenal glands

446) Which substance does vitamin K contributes to the formation of? Bilirubin Prothrombin Thromboplastin Cholecystokinin

Prothrombin

97) Which antidote would the nurse anticipate administering to a client whose laboratory report establishes a warfarin overdose? Physostigmine Vitamin K Iron dextran Protamine sulfate

Vitamin K

A client is started on long-term corticosteroid therapy for an autoimmune disorder. Which statement by the client indicates the need for more teaching by the nurse? Question 11 Answer Choices A"For 1 week each month I will stop taking the medication." B"I will keep a record of my weight each week." respiratory pharmacology C"The medication needs to be taken with food." D"I will be sure to eat foods that are high in potassium."

A"For 1 week each month I will stop taking the medication."

After abdominal surgery, a client is prescribed low molecular weight heparin (LMWH). During administration of the medication, the client asks the nurse the reason for the medication. Which is the best response for the nurse to provide the client? A. This medication is given to prevent blood clot formation. B. This medication enhances antibiotics to prevent infection. C. This medication dissolves clots that develop in the legs. D. This medication enhances the healing of wounds.

A. This medication is given to prevent blood clot formation.

990) A client with rheumatoid arthritis has been taking a corticosteroid medication for the past year. Prolonged use of corticosteroids puts this client at increased risk for which complication? Decreased white blood cells Increased C-reactive protein Increased sedimentation rate Decreased serum glucose levels

Decreased white blood cells

750) Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator? Is able to obtain pulse oximeter readings Demonstrates use of a metered-dose inhaler Knows the health care provider's office hours Can identify triggers that may cause wheezing

Demonstrates use of a metered-dose inhaler

115) Which response to fludrocortisone will the nurse teach a client with adrenal insufficiency to report? Select all that apply. One, some, or all responses may be correct. Edema Rapid weight gain Fatigue in the afternoon Unpredictable changes in mood Increased frequency of urination

Edema Rapid weight gain

526) Which action would be the most appropriate way for the nurse to evaluate a child's understanding of how to use an inhaler? Asking questions about using the inhaler Having the child demonstrate inhaler use Explaining how the inhaler will be used at home respiratory pharmacology Having the child tell the nurse about the technique that was learned

Having the child demonstrate inhaler use

359) Which action will a nurse take when a male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently? Have the client assessed for an enlarged prostate. respiratory pharmacology Obtain a urine specimen from the client to test for ketonuria. Perform a finger stick to test the client's blood glucose level. Assess the client's lower extremities for the presence of pitting edema.

Perform a finger stick to test the client's blood glucose level.

1119) A client is admitted to the hospital for an adrenalectomy. When teaching the client about the prescribed medications, which advice will the nurse emphasize? Medication therapy will be given in conjunction with insulin. Once regulated, the dosage will remain the same for life. Medications will need to be held for surgery or other invasive procedures. Salt intake may have to be restricted.

Salt intake may have to be restricted

719) Tissue plasminogen activator (t-PA) is to be administered to a client in the emergency department. Before beginning the infusion, which assessment is the nurse's priority? Vital signs Electrocardiogram (ECG) monitoring Signs of bleeding Level of chest pain

Signs of bleeding

Question 11 The client who was admitted with exacerbation of ulcerative colitis has developed hyperglycemia. Which medication that the client was prescribed most likely caused this adverse drug effect? Question 11 Answer Choices A Dicyclomine B Acetaminophen C Prednisone D Diphenoxylate/atropine

C Prednisone

Question 1 A nurse is teaching an 80-year-old client how to use a metered dose inhaler. The nurse is concerned that the client is unable to coordinate the release of the medication during the inhalation phase. Which intervention should improve the delivery of the medication? Question 1 Answer Choices A Ask a family member to assist the client with the inhaler. logy B Request a home health nurse to visit the client at home. C Use nebulized treatments at home instead. D Add a spacer device to the inhaler canister.

D Add a spacer device to the inhaler canister.

The nurse is caring for a client prescribed warfarin therapy for treatment of persistent atrial fibrillation. Which of the following may potentiate the effect of this medication? Question 20 Answer Choices A St. John wort B Estrogen C Vitamin K D Green tea

D Green tea

A client is being discharged with a prescription for warfarin. Which information is most important to be included in the nurse's discharge teaching? Question 7 Answer Choices A Take acetaminophen for minor pain B Use a soft toothbrush C Avoid eating leafy green vegetables D Report nose or gum bleeding

D Report nose or gum bleeding

Question 7 The nurse is teaching a client about precautions while taking warfarin. The nurse should instruct the client to avoid foods with excessive amounts of which nutrient? Question 7 Answer Choices A Calcium B Vitamin E C Iron D Vitamin K

D Vitamin K

597) The nurse administers albuterol to a child with asthma. Which common side effect would the nurse monitor for in the child? Flushing Dyspnea Tachycardia Hypotension

Tachycardia

1083) A client is taking warfarin. If an antidote is needed, which agent will be used? Vitamin K Fibrinogen Prothrombin Protamine sulfate Rationale

Vitamin K

679) The laboratory report establishes that the client has a warfarin overdose. Which antidote would the nurse anticipate administering? Physostigmine Vitamin K Iron dextran

Vitamin K

The nurse is evaluating the plan of care for a client with benign prostatic hyperplasia (BPH). For which prescribed medication should the nurse notify the health care provider (HCP)? Question 19 Answer Choices A Diphenhydramine B Finasteride C Terazosin D Metoprolol

A Diphenhydramine

The nurse is teaching a school-aged child and family members about the use of inhalers prescribed for asthma. Which statement made by a family member indicates an understanding of the nurse's instructions? Question 12 Answer Choices A"We will keep a chart of daily peak flow meter results." B"We can rely on our child's self-report of symptoms." C"Monitoring our child's pulse rate is not necessary." D"Skin color changes in our child is an early warning sign for airway constriction."

A"We will keep a chart of daily peak flow meter results.

A nurse is educating a client about the use of warfarin at home. The nurse should reinforce the need for the client to monitor which of the following? Question 12 Answer Choices A Extended exposure to outdoor sunlight respiratory pharmacology B Consistent intake of foods high in vitamin K C Avoidance of public transportation and large groups of people D Limit of strenuous physical exercise

B Consistent intake of foods high in vitamin K

Question 10 A client is prescribed heparin therapy for a deep vein thrombosis (DVT). Which laboratory value should the nurse monitor closely? Question 10 Answer Choices A D-dimer B Platelet count C Activated partial thromboplastin time D Bleeding time

B Platelet count

The nurse is teaching the client how to properly use a dry powder capsule inhaler. How should the nurse instruct the client to use this type of inhaler? Question 6 Answer Choices A Shake inhaler before putting it in mouth B Seal lips tightly around mouthpiece and inhale rapidly and deeply C Rinse mouthpiece in hot soapy water after using respiratory pharmacolog D Breathe in medicine slowly and deeply for about 3-5 seconds

B Seal lips tightly around mouthpiece and inhale rapidly and deeply

The nurse is teaching a pediatric client and family about prescribed albuterol sulfate extended-release tablets. Which statement should be included? Question 12 Answer Choices A If you cannot swallow the tablet, it is ok to chew it B This medication can cause restlessness C Rinse your mouth after taking this medication D Oral albuterol can cause an increase in urination

B This medication can cause restlessness

The nurse is discharging a client with a new prescription for tiotropium to help manage the symptoms of chronic obstructive pulmonary disease. What information should the nurse include in the discharge teaching? Question 18 Answer Choices A It may be a few days before you feel the full effects of tiotropium. . B This medication cannot be used to relieve sudden breathing problems. C Be sure to swallow the capsules with a full glass of water. D A common side effect is nausea and loose stools.

B This medication cannot be used to relieve sudden breathing problems.

The nurse has provided instructions to a client on the use of warfarin. Which statement by the client requires further teaching? Question 6 Answer Choices A"If I become constipated, I can take laxatives containing magnesium salts." B"If I develop a headache, I should take ibuprofen to help my pain." C"If I develop an itchy rash, I will use a cream with diphenhydramine." D"If I catch a cold, I will use guaifenesin to make my cough better"

B"If I develop a headache, I should take ibuprofen to help my pain."

The nurse is reinforcing medication interactions with a client who is taking warfarin. Which over-the-counter (OTC) medication should the nurse remind the client to avoid? Question 3 Answer Choices A Diphenhydramine B Acetaminophen C Naproxen D Pantoprazole

C Naproxen

The nurse is providing teaching to the client prescribed albuterol for the management of asthma. The nurse is including reportable side effects in the teaching plan. Which of the following side effects is the priority? Question 5 Answer Choices A Nervousness B Headache C Palpitations D Muscle aches

C Palpitations

493) Which drink would a nurse teach a client on warfarin to avoid? Apple juice Grape juice Orange juice Cranberry juice

Cranberry juice

209) Which symptom would the nurse expect to decrease in response to corticosteroid therapy prescribed for a client with multiple sclerosis? Emotional lability Muscular contractions Pain in the extremities Visual impairment

Visual impairment

337) Which statement about appropriate foods to consume when taking warfarin would indicate that the client needs further teaching? "Eggs provide a good source of iron, which is needed to prevent anemia." "Yellow vegetables are high in vitamin A and should be included in the diet." "Dark green leafy vegetables are high in vitamin K, so I should eat them more often." "Milk and other high-calcium dairy products are necessary to counteract bone density loss."

"Dark green leafy vegetables are high in vitamin K, so I should eat them more

178) Which instruction will the nurse include when performing discharge teaching to a client now receiving hydrocortisone by mouth after stabilization of an acute adrenal insufficiency? "Eat a diet high in sodium." "Take the medication with food." "Maintain the same dose indefinitely." "Eliminate a dose if side effects occur."

"Take the medication with food."

A client is receiving methylprednisolone 40 mg IV daily. The nurse should monitor which laboratory value closely? A. Serum glucose. B. Serum calcium. C. Red blood cells. D. Serum potassium.

A. Serum glucose.

1122) Which vitamin is essential for the synthesis of prothrombin by the liver? B 12 C D K

K

714) A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to manage this condition? Tetracaine Fluorescein Timolol maleate Atropine sulfate

Timolol maleate

The nurse is educating a client on self-administration of a fluticasone inhaler. What statement indicates an understanding of the teaching? Question 12 Answer Choices A I will rinse my mouth with water after using the inhaler B Disinfectant wipes can be used to clean the spacer C I need to wait 15 minutes between puffs D This inhaler should be used before the others

"I will rinse my mouth with water after using the inhaler."

717) The nurse provides discharge medication education to a client who has a prescription for warfarin. Which client statement indicates to the nurse that teaching was effective? 'I will avoid taking aspirin and nonsteroidal anti-inflammatory drugs [NSAIDs].' 'I will need to develop a more sedentary routine.' 'I will need to have regular complete blood counts to guide warfarin dosage.' 'Before going to the dentist, I will ask my health care provider for antibiotics.'

'I will avoid taking aspirin and nonsteroidal anti-inflammatory drugs [NSAIDs].'

1113) A client is scheduled for an adrenalectomy. Which action would the nurse expect in the plan of care? Provide a low-protein diet. Administer parenteral corticosteroids. Collect a preoperative 24-hour urine specimen. Withhold all medications 48 hours before surgery.

.Provide a low-protein diet.

Question 21 The nurse is educating a client about how to use a metered-dose inhaler with spacer. Place each step in the correct order by entering the numbers in order. Only enter numbers, no spaces or commas. 1. Breathe out slowly 2. Breathe in deeply respiratory pharmacology 3. Release the medication into the spacer 4. Remove the mouthpiece from the lips 5. Hold breath for 10 seconds

32451

765) A beclomethasone inhaler would be prescribed for which purpose? Prevents atelectasis Decreases inflammation Relaxes smooth muscle in the airways Reduces bacteria in the respiratory tract

Decreases inflammation

704) A health care provider prescribes dexamethasone for a client with head trauma. The nurse recognizes that it reduces swelling in the brain by which process? Acts as a hyperosmotic diuretic Increases resistance to infection respiratory pharmacology Reduces the inflammatory response of tissues Decreases the formation of cerebrospinal fluid

Decreases the formation of cerebrospinal fluid

Upon admission to the emergency center, an adult client with acute status asthmaticus is prescribed this series of medications. In which order should the nurse administer the prescribed medications? (Arrange from first to last.)

E. Albuterol (Proventil) puffs. F. Salmeterol (Serevent Diskus). G. Prednisone (Deltasone) orally. H. Gentamicin (Garamycin) IM.

777) A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after surgery, the nurse anticipates the use of medications from which class? Glucocorticoids Anticholinergics Anticonvulsants Antihypertensives

Glucocorticoids

907) A client is admitted to the hospital for an adrenalectomy. Before the client's replacement steroid therapy is regulated fully, the nurse will monitor the client for which complication? Hypotension Hypokalemia Hypernatremia Hyperglycemia

Hypotension

314) Which action is the primary purpose of a topical steroid application to a basal cell carcinoma surgical site? Preventing infection of the wound Increasing fluid loss from the skin Reducing inflammation at the surgical site Limiting itching around the area of the lesion

Reducing inflammation at the surgical site

753) A health care provider prescribes metaproterenol for a client. For which therapeutic effect would the nurse monitor the client? Induced sedation Relaxed bronchial spasm Decreased blood pressure Productive cough

Relaxed bronchial spasm

1520) An adolescent with hay fever has been taking a prescribed first-generation antihistamine every 8 hours for the past 2 days. The adolescent tells the nurse, 'This medicine is making me sleepy.' Which response by the nurse would be most appropriate? 'Take half a tablet before school.' 'Try omitting the early morning dose.' 'The drowsiness usually decreases after several days.' 'I'll write your teacher a note to explain your inability to concentrate in class while taking this medicine.'

The drowsiness usually decreases after several days.'

685) For the client taking clopidogrel, the nurse will monitor for which adverse effect? Nausea Epistaxis Chest pain Elevated temperature

Epistaxis

1481) A pediatric client is prescribed an intravenous infusion of methylprednisolone. Which clinical manifestation requires immediate intervention during administration of the initial dose? respiratory pharmacology Polyuria Tinnitus Drowsiness Hypotension

Polyuria

912) When a client is receiving dexamethasone for adrenocortical insufficiency, which action would the nurse take to monitor for an adverse effect of the medication? Auscultate for bowel sounds. Assess deep tendon reflexes. Culture respiratory secretions. Measure blood glucose levels.

Measure blood glucose levels.

581) A child who has nephrotic syndrome is prescribed steroid therapy. Which explanation would the nurse give the parents regarding the goal of this treatment? Prevents infection Stimulates diuresis Provides hemopoiesis Reduces blood pressure

Stimulates diuresis

256) Which information would the nurse provide when administering the first dose of prednisone prescribed to a client with an exacerbation of colitis? "Prednisone protects you from getting an infection." "The medication may cause weight loss by decreasing your appetite." "Prednisone is not curative but does cause a suppression of the inflammatory process." "The medication is relatively slow in precipitating a response but is effective in reducing symptoms."

"Prednisone is not curative but does cause a suppression of the inflammatory process."

Question 3 The home health nurse is completing a medication reconciliation of a client who has a new prescription for warfarin. Which medication should the nurse question the healthcare provider about? Question 3 Answer Choices A Aspirin B Nifedipine C NPH insulin D Vitamin D supplement

A Aspirin

1179) Which intervention would the nurse implement for a client admitted for an exacerbation of asthma? Determine the client's emotional state. Give prescribed medications to promote bronchiolar dilation. Provide education about the effect of a family history. Encourage the client to use an incentive spirometer routinely.

Give prescribed medications to promote bronchiolar dilation.

The nurse is providing discharge education to a client with moderate persistent asthma. The nurse should instruct the client to administer which medication first? Question 2 Answer Choices A Bronchodilator B Glucocorticoid C Anticholinergic D Mast cell stabilizer

A Bronchodilator

537) A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. Which intervention would be a priority for the nurse? Having the child rest as much as possible Checking the child's eosinophil count daily respiratory pharmacology Preventing exposure of the child to infection Offering sips of water when administering the medication

Preventing exposure of the child to infection

1115) A female client receiving cortisone therapy for adrenal insufficiency expresses concern that she is developing facial hair. How would the nurse respond? 'It is just another sign of adrenal insufficiency.' 'This side effect will disappear after therapy.' 'This is not important as long as you are feeling better.' 'The medication contains a hormone that causes male characteristics.'

'The medication contains a hormone that causes male characteristics.'

The nurse is monitoring an older adult client prescribed diphenhydramine for contact dermatitis related to poison ivy exposure. Which finding should be reported to the provider as a potential drug-related side effect? Question 5 Answer Choices A Confusion B Hypertension C Incontinence D Bradypnea

A Confusion

A nurse is reviewing the INR results for caring for a client who had a cerebral vascular accident and is receiving prescribed warfarin. The nurse notes the INR is 5.2. Which finding requires priority follow-up? Question 4 Answer Choices A Gum bleeding B Generalized weakness C Pharyngitis DAnorexia

A Gum bleeding

The nurse is collecting the health history of a client who reports taking over-the-counter pseudoephedrine for nasal congestion. Which statement by the client would require follow-up by the nurse? Question 7 Answer Choices A I take this medication at night before I go to bed B I have to use a normal saline nasal spray since I started this medication C I avoid drinking beverages with caffeine while taking the medication D I chew gum when I take this medication to help with my dry mouth

A I take this medication at night before I go to bed

The nurse is providing education to the client prescribed montelukast for the treatment of asthma. What medication should the nurse instruct the client to avoid? Question 11 Answer Choices A Ibuprofen B Prednisone C Amoxicillin D Formoterol

A Ibuprofen

The nurse is caring for a client with a sore throat who developed urticaria after the administration of prescribed antibiotics. The client is now receiving cetirizine. Which finding indicates that the cetirizine is having the intended effect? Question 6 Answer Choices A The client reports less itching. respiratory pharmacology B The tonsils are decreasing in size. C The client reports less muffled hearing. D The pain rating is decreased.

A The client reports less itching.

Question 15 The nurse is teaching an older adult client with chronic obstructive pulmonary disease (COPD) how to use a spacer with the prescribed anticholinergic metered dose inhaler (MDI). What is the purpose of using a spacer? Question 15 Answer Choices A To enhance delivery and absorption of the medication B To prevent acute exacerbations of COPD C To limit adverse side effects of the medication D To increase client compliance with using the MDI

A To enhance delivery and absorption of the medication

The nurse is teaching a client diagnosed with asthma about the medication albuterol. Which statement by the nurse demonstrates appropriate teaching? Question 1 Answer Choices A"Call your doctor's office if you need to use the drug more often." B"Use this medication at bedtime to promote rest." C"Use this medication after other asthma inhalers." D"Discontinue the inhaler if you feel dizzy."

A"Call your doctor's office if you need to use the drug more often."

962) Which information from the client's history would the nurse identify as a risk factor for developing osteoporosis? Takes estrogen therapy Receives long-term steroid therapy Has a history of hypoparathyroidism Engages in strenuous physical activity

Receives long-term steroid therapy

The nurse is caring for a client after cardiac surgery who has been prescribed protamine sulfate. Which finding indicates that the treatment is having the intended effect? Question 6 Answer Choices A The international normalized ratio (INR) is trending down. B The bleeding from the surgical site has slowed. C The client reports decreased chest pain. D The respiratory rate is increased.

B The bleeding from the surgical site has slowed.

943) The international normalized ratio (INR) results of a client receiving warfarin have been variable. Which factor can help the nurse identify the cause of the INR fluctuations? Intake of foods high in potassium Serum glucose level Platelet count Adherence to the prescribed medication regimen

Adherence to the prescribed medication regimen

779) The health care provider prescribes enoxaparin to be administered subcutaneously. To ensure client safety, which measure would the nurse take when administering this medication? Remove air pocket from the prepackaged syringe before administration. Rub the injection site for 30 seconds after administration. Administer the medication over 2 minutes. Administer in the abdomen area only.

Administer in the abdomen area only.

Question 17 The nurse is caring for a client who is experiencing excessive bleeding after receiving unfractionated heparin sodium. Which orders should the nurse anticipate from the health care provider? Select all that apply. Administer vitamin K. Obtain prothrombin time (PT)/international normalized ratio (INR). Administer protamine sulfate. Obtain activated partial thromboplastin time (aPTT). Change prescription to enoxaparin.

Administer protamine sulfate. Obtain activated partial thromboplastin time (aPTT).

The nurse is providing discharge education to a client newly diagnosed with chronic obstructive pulmonary disease. The client is prescribed the diskus inhaler fluticasone propionate and salmeterol. The client asks, "How will I know when the inhaler is empty?" How should the nurse respond? Question 5 Answer Choices A Shake the canister to detect any fluid movement BThe number of doses that remain will be on the inhaler C Drop the canister in water to observe floating D Estimate how many doses are usually in the canister

B The number of doses that remain will be on the inhaler

Question 13 The nurse is teaching a client with asthma about albuterol. How should the nurse best describe the action of this medication? Question 13 Answer Choices A"The medication is given to reduce secretions that block airways." B"The medication will help to relax smooth muscles in the airways." C"The medication will stimulate the respiratory center in the brain." D"The medication will help to prevent pneumonia."

B"The medication will help to relax smooth muscles in the airways."

A client is being discharged with a prescription for warfarin. The client asks "May I take aspirin with this medication? It helps my arthritis." Which response by the nurse is appropriate to address the client's concern? Question 13 Answer Choices A"Use about half the recommended dose of aspirin." B"When you take the aspirin, do not take the warfarin that day." C"Avoid aspirin because it can increase the bleeding effects of warfarin." D"Take the warfarin in the morning and the aspirin at night."

C "Avoid aspirin because it can increase the bleeding effects of warfarin."

A nurse is assessing a client receiving alteplase for a pulmonary embolism. The client suddenly becomes confused and is unable to follow commands. What action does the nurse take first? Question 16 Answer Choices A Notify the healthcare provider B Reorient the client C Check the client pupils D Stop the infusion

D Stop the infusion

1482) An adolescent prescribed loratadine 10 mg daily for hay fever is concerned the medication will cause drowsiness during the school day. Which action would the school nurse take? Explain this medication rarely causes drowsiness. Advise to take half a tablet in the morning before school. Suggest skipping the next day's dose if hay fever is better. Recommend contacting the allergist for a prescription containing a stimulant.

Explain this medication rarely causes drowsiness.

591) Which effect would the nurse assess a teenager for if more than the recommended dose of oxymetazoline nasal spray is taken? Nasal polyps Ringing in the ears Bleeding tendencies Increased nasal congestion

Increased nasal congestion

778) Long-term corticosteroid therapy has been initiated for a client with myasthenia gravis who experiences inadequate symptomatic control with pyridostigmine bromide. Which action is important for the nurse to take? Request a high-sodium diet. Establish protective isolation. Decrease the client's total daily fluid intake. Monitor the client for an exacerbation of symptoms.

Monitor the client for an exacerbation of symptoms.

1063) Dexamethasone has been prescribed for a client after a craniotomy for a brain tumor. Which physiological response is responsible for this medication's therapeutic effect? Reduced cell growth Reduced cerebral edema Increased renal reabsorption Increased response to sedation

Reduced cerebral edema

808) A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question? Lubricates the joint Reduces inflammation Provides physiotherapy Prevents ankylosis of the joint

Reduces inflammation

1542) Which action would the nurse perform when administering fluticasone propionate to a client with asthma? Select all that apply. One, some, or all responses may be correct. Assessing heart rate and rhythm Monitoring liver function blood tests respiratory pharmacology Rinsing the oral cavity with water after use Obtaining blood glucose levels before meals Giving stool softeners to prevent constipation

Rinsing the oral cavity with water after use Obtaining blood glucose levels before meals

911) Hydrocortisone is prescribed for a client with Addison's disease. Which response is a therapeutic effect of this medication? Supports a better response to stress Promotes a decrease in blood pressure respiratory pharmacology Decreases episodes of shortness of breath Controls an excessive loss of potassium

Supports a better response to stress

463) Which statement by a client who had an endarterectomy that is prescribed clopidogrel would cause the nurse to conclude that teaching was effective? "Clopidogrel will limit inflammation around my incision." "Taking this medication will help prevent further clogging of my arteries." "The medication will lower the slight fever I have had since surgery." "I will take this medication to reduce the discomfort I feel at the surgical incision."

Taking this medication will help prevent further clogging of my arteries.

980) Enoxaparin 40 mg subcutaneously daily is prescribed for a client who had abdominal surgery. The nurse explains that the medication is given for which purpose? To control postoperative fever To provide a constant source of mild analgesia To limit the postsurgical inflammatory response To provide prophylaxis against postoperative thrombus formation

To provide prophylaxis against postoperative thrombus formation

1187) A client presents with extensive lesions caused by psoriasis. Which intervention would the nurse anticipate providing teaching on? respiratory pharmacology Advising sunscreen and special clothing Topical application of steroids Potassium permanganate baths Débridement of necrotic plaques

Topical application of steroids

576) A child with nephrotic syndrome has been receiving prednisone for 1 week. Which information in the child's record indicates to the nurse that the medication has been effective? Select all that apply. One, some, or all responses may be correct. Weight loss Lower blood pH Decreased lethargy Increased urine output Decreased blood pressure

Weight loss Decreased lethargy Increased urine output

751) While receiving an adrenergic beta 2 agonist medication for asthma, the client complains of palpitations, chest pain, and a throbbing headache. Which nursing action is the most appropriate? Withhold the medication and notify the health care provider. Tell the client that these are expected side effects from the medicine. Give instructions to breathe slowly and deeply for several minutes. Explain that the effects are temporary and will subside as medication tolerance

Withhold the medication and notify the health care provider.

The nurse is reviewing the prothrombin time results for a client who is taking warfarin. The nurse notes the value is 20 seconds. What is an appropriate nursing action? Question 3 Answer Choices A Recognize that this is a therapeutic level. B Assess for bleeding gums or IV sites. C Notify the primary health care provider immediately. D Observe the client for hematoma development.

A Recognize that this is a therapeutic level.

828) A client who recently started receiving oral corticosteroids for a severe allergic reaction is instructed that the dosage will be reduced gradually until all medication is stopped at the end of 2 weeks. Which reason would the nurse provide for this gradual reduction in dosage? Discontinuing the medication too fast will cause the allergic reaction to reappear. Slow reduction of the medication will prevent a physiological crisis because the adrenal glands are suppressed. The health care provider is attempting to determine the minimal dose that will be effective for the allergy. Sudden cessation of the medication will cause development of serious side effects, such as moon face and fluid retention.

Discontinuing the medication too fast will cause the allergic reaction to reappear.

721) Which medication is often contraindicated when taking warfarin? Atenolol Ferrous sulfate Chlorpromazine Acetylsalicylic acid

Acetylsalicylic acid

856) A client with chronic liver disease reports, 'My gums have been bleeding spontaneously.' The nurse identifies small hemorrhagic lesions on the client's face. The nurse concludes that the client needs which additional supplement? Bile salts Folic acid Vitamin A Vitamin K

Vitamin K

217) Which statement regarding mealtime administration by a client who has arthritis and is prescribed corticosteroid medication indicates that the teaching was effective? "This will decrease gastric irritation." respiratory pharmacology "This will serve as a reminder to take the medication." "The presence of food will enhance absorption." "The medication is ineffective in an acid medium."

"This will decrease gastric irritation."

763) Which method would the nurse recommend when teaching the client with asthma how to determine if an inhaler is empty? Track the number of doses taken. respiratory pharmacology Taste the medication when sprayed into the air. Shake the canister. Place the canister in water to see if it floats.

Track the number of doses taken.

527) A 6-year-old child with asthma is prescribed an inhaled corticosteroid. The nurse would conclude the mother understands teaching about the medication side effects when the mother makes which statement? 'I'll watch for frequent urination.' 'I'll check for white patches in the mouth.' 'I'll be alert for short episodes of not breathing.' 'I'll monitor for an increased blood glucose level.'

'I'll check for white patches in the mouth.'

959) Immediately after a bilateral adrenalectomy, a client is receiving corticosteroids that are to be continued after discharge from the hospital. Which statement by the client indicates to the nurse that additional education is needed? 'I need to have periodic tests of my blood for glucose.' 'I am glad that I only have to take the medication once a day.' 'I must take the medicine with meals.' 'I should tell my health care provider if I am overly restless or have trouble

'I am glad that I only have to take the medication once a day.'

1180) The nurse teaches the client about appropriate foods to consume when taking warfarin. The nurse evaluates that the client needs further teaching when the client makes which statement? 'Eggs provide a good source of iron, which is needed to prevent anemia.' 'Yellow vegetables are high in vitamin A and should be included in the diet.' 'Dark green leafy vegetables are high in vitamin K, so I should eat them more often.' 'Milk and other high-calcium dairy products are necessary to counteract bone density loss.'

'Dark green leafy vegetables are high in vitamin K, so I should eat them more often.

511) The nurse teaches a client about cortisone therapy. Which statements made by the client indicate the need for further teaching? Select all that apply. One, some, or all responses may be correct. 'I should take 3 tablets at a time.' 'I should take the tablet with water.' 'I should take the tablet twice a week.' 'I should take the tablet on an empty stomach.' 'I should take the tablet with a meal.'

'I should take 3 tablets at a time.' 'I should take the tablet twice a week.' 'I should take the tablet on an empty stomach.'

707) The spouse of a client with an intracranial hemorrhage asks the nurse, 'Why aren't they administering an anticoagulant? How will the nurse respond? 'It is not advisable because bleeding will increase.' 'If necessary, it will be started to enhance circulation.' 'If necessary, it will be started to prevent pulmonary thrombosis.' 'It is inadvisable because it masks the effects of the hemorrhage.'

'It is not advisable because bleeding will increase.'

524) A child is prescribed fluticasone after an acute asthma attack. Which instruction would the nurse give the family about the administration of this medication? 'Fluticasone needs to be taken with food or milk.' 'Fluticasone is primarily used to treat acute asthma attacks.' 'The child should suck on hard candy to help relieve dry mouth.' 'Watch for white patches in the mouth and report to the health care provider.'

'Watch for white patches in the mouth and report to the health care provider.'

839) A health care provider prescribes enoxaparin 30 mg subcutaneously daily. Which measure would the nurse take when administering this medication? Push over 2 minutes. Administer in the abdomen. Massage site after administration. Remove air pocket from prepackaged syringe before administration.

Administer in the abdomen.

The nurse is educating a client with end stage chronic obstructive pulmonary disease (COPD) about medication management. Which statement by the client indicates an understanding of the teaching? Question 11 Answer Choices A I will use the albuterol in the nebulizer before my other inhalers each morning B I can use my tiotropium inhaler if I get short of breath C I will only use the fluticasone inhaler on the days I am really out of breath respiratory pharmacology D The side effects of these medications will be less severe because I’m not taking them by mouth "The side effects of these medications will be less severe because I'm not taking them by mouth."

A I will use the albuterol in the nebulizer before my other inhalers each morning

The nurse is preparing to administer an albuterol nebulizer treatment to a patient with asthma. Which assessment finding should be brought to the health care provider's attention prior to administering the medication? Question 14 Answer Choices A Temperature of 101°F B Heart rate of 116 bpm C Respiratory rate of 28 D Lower extremity edema

B Heart rate of 116 bpm

The nurse is evaluating the effectiveness of therapy for a client who received albuterol via nebulizer during an acute episode of shortness of breath due to asthma. Which finding is the best indicator that the therapy was effective? Question 18 Answer Choices A Accessory muscle use has decreased. B Oxygen saturation is greater than 90%. C Respiratory rate is 16 breaths/minute. D No wheezes are audible.

B Oxygen saturation is greater than 90%.

Question 5 A client with chronic obstructive pulmonary disease (COPD) is receiving aminophylline 25 mg/hour intravenously (IV). Which finding would be associated with side effects of this medication? Question 5 Answer Choices A Flushing and headache B Restlessness and palpitations C Decreased urine volume D Pruritus

B Restlessness and palpitations

A nurse is teaching a client with asthma about the correct use of the fluticasone inhaler. Which statement, if made by the client, would indicate that the teaching was effective? Question 3 Answer Choices A"The inhaler can be used when I feel short of breath." B"If I forget a dose, I will double the next dose." C"I should rinse my mouth after using the inhaler." D"I should not use a spacer with my inhaler."

C"I should rinse my mouth after using the inhaler."

A client at risk for a stroke has been prescribed clopidogrel. Which information is most important for the nurse to reinforce with the client? Question 8 Answer Choices A"You must take the medication on an empty stomach." B"If you miss a dose, take a double dose the next day." C"You must stop the medication a week before your surgery." D"You must have your lab tests checked weekly."

C"You must stop the medication a week before your surgery."

The nurse is caring for an 83-year-old client who is experiencing a sudden onset of confusion. Which medication most likely contributed to this change? Question 10 Answer Choices A Cardiac glycoside B Anticoagulant C Liquid antacid D Antihistamine

D Antihistamine

A nurse notes an abrupt onset of confusion in an 85-year-old client. Which newly prescribed medication most likely caused this change in the client's mental status? Question 10 Answer Choices A Warfarin B Metoprolol C Pantoprazole D Diphenhydramin E. Pantoprazole

D Diphenhydramin

1189) The nurse provides client teaching on the administration of a topical steroid application to a basal cell carcinoma surgical site. The nurse evaluates the teaching as effective when the client identifies which action as the primary purpose of the medication? Preventing infection of the wound Increasing fluid loss from the skin Reducing inflammation at the surgical site Limiting itching around the area of the lesion

Reducing inflammation at the surgical site

898) A client who had a femoropopliteal bypass graft is receiving clopidogrel postoperatively. Which instruction will the nurse teach the client related to the medication? Eliminate starches and red meats from the diet. respiratory pharmacology Eat more roughage if constipation occurs. Report any occurrence of multiple bruises. Take the medication on an empty stomach.

Report any occurrence of multiple bruises.

958) Warfarin is prescribed for a client who has been receiving intravenous (IV) heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both medications are needed at the same time. Which rationale would the nurse include to address the client's concern? This permits the administration of smaller doses of each medication. Giving both medications allows clot dissolution while preventing new clot formation. Heparin provides anticoagulant effects until warfarin reaches therapeutic levels. Administration of heparin with warfarin provides immediate and maximum protection against clot formation.

This permits the administration of smaller doses of each medication.

610) A child undergoing prolonged steroid therapy takes on a cushingoid appearance. The nurse would expect to find which of these manifestations during further assessment? Select all that apply. One, some, or all responses may be correct. Truncal obesity Thin extremities Increased linear growth Loss of hair on the body Decreased blood pressure

Truncal obesity Thin extremities

The nurse is discharging a client who is at risk for venous thromboembolism (VTE). The client is prescribed enoxaparin. Which instruction should the nurse provide to this client? Question 10 Answer Choices A"Notify your health care provider if your stools appear tarry or black." B"You must have your partial thromboplastin time (PTT) checked weekly." C"You should massage the injection site for better absorption." D"An intravenous (IV) catheter will be placed to administer the medication."

A"Notify your health care provider if your stools appear tarry or black.

A nurse is providing education on activities of daily living to a client taking warfarin. Which statement made by the client indicates further teaching is required? Question 9 Answer Choices A "I will brush my teeth using a soft-bristled toothbrush." B "I will wear a medical alert bracelet on my wrist." C "I will be sure to consume plenty of green leafy vegetables." D "I need to shave using an electric razor."

C "I will be sure to consume plenty of green leafy vegetables."

A client with a history of asthma is admitted for a minor surgical procedure. Preoperatively, the peak flow is measured at 480 liters/minute. Postoperatively, the client reports chest tightness and the peak flow is now 200 liters/minute. What should the nurse do first? Question 3 Answer Choices A Notify both the surgeon and primary care provider B Repeat the peak flow reading in 30 minutes C Administer the PRN dose of albuterol DApply oxygen at two liters per nasal cannula

C Administer the PRN dose of albuterol

A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose. Which action should the nurse perform to alleviate this side effect? A. Change the time of the dose. B. Hold the 9 p.m. dose. C. Administer the dose with a snack. D. Offer an antiemetic with the dose.

C. Administer the dose with a snack.

1044) A client has refused prescribed cortisone. The nurse continues to administer the cortisone while evading the client's questions. When the client later discovers that cortisone continued to be administered, the client decides to sue the nurse. Which elements must be considered in a legal action? Select all that apply. One, some, or all responses may be correct. Clients have a right to refuse treatment. Nurses are required to answer clients truthfully. The health care provider should have been notified. The client had insufficient knowledge to make such a decision. Legally prescribed medications are administered despite a client's objections. Rationale

Clients have a right to refuse treatment. Nurses are required to answer clients truthfully. The health care provider should have been notified.

1035) A client with a partial occlusion of the left common carotid artery is to be discharged while still receiving warfarin. Which adverse effect will the nurse identify as a reason for the client to seek medical consultation? Select all that apply. One, some, or all responses may be correct. Hematuria Hemoptysis Delayed clotting from minor cuts and scrapes Bleeding from gums when brushing teeth Vomiting coffee-ground emesis

Hematuria Hemoptysis Delayed clotting from minor cuts and scrapes Vomiting coffee-ground emesis

536) The nurse administers albuterol to a 4-year-old child. Which intervention would assist the nurse in evaluating the effectiveness of this medication? Auscultate breath sounds. Collect a sputum sample. Conduct a neurological examination. Palpate chest excursion.

Auscultate breath sounds.

1488) Which side effect would the nurse assess for in a child receiving prednisone? Alopecia Anorexia Weight loss Mood changes

Mood changes

748) List in order the steps the nurse teaches the client to follow when using a metered-dose inhaler (MDI). 1. Shake the inhaler for 30 seconds. 2. Exhale slowly and deeply to empty the air from the lungs. 3. Hold the inhaler upright in the mouth 4. Start breathing in and press down on the inhaler once. respiratory pharmacology

1. Shake the inhaler for 30 seconds. 2. Exhale slowly and deeply to empty the air from the lungs. 3. Hold the inhaler upright in the mouth 4. Start breathing in and press down on the inhaler once. respiratory pharmacology

146) Which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis? The client will be protected from getting an infection. Symptoms associated with the colitis will decrease slowly over time. Although the medication causes anorexia, weight loss may not occur. respiratory pharmacology Although the medication decreases intestinal inflammation, it will not cure the colitis.

Although the medication decreases intestinal inflammation, it will not cure the colitis.

1114) A client is scheduled for a bilateral adrenalectomy. Which rationale describes why steroids are administered to the client? To foster accumulation of glycogen in the liver To increase the inflammatory action to promote healing To facilitate urinary excretion of salt and water after surgery To compensate for sudden lack of these hormones after surgery

To compensate for sudden lack of these hormones after surgery

724) To prevent excessive bruising when administering subcutaneous heparin, which technique will the nurse employ? Administer the injection via the Z-track technique. Avoid massaging the injection site after the injection. Use 2 mL of sterile normal saline to dilute the heparin. Inject the medication into the vastus lateralis muscle in the thigh.

Avoid massaging the injection site after the injection.

The nurse admits a client with tumor-induced spinal cord compression. Which medication should the nurse anticipate to be prescribed to offer the best palliative treatment for this client? A. Morphine sulfate. B. Ibuprofen. C. Amitriptyline. D. Dexamethasone

D. Dexamethasone

266) Which times for the medication schedule would a nurse teach when corticosteroid therapy is prescribed for a client with an exacerbation of ulcerative colitis? At bedtime with a snack Three times a day with meals In the early morning with food One hour before or 2 hours after eating

In the early morning with food

749) A client is receiving dexamethasone to treat acute exacerbation of asthma. For which side effect would the nurse monitor the client? Hyperkalemia Liver dysfunction Orthostatic hypotension Increased blood glucose

Increased blood glucose

1034) The nurse provides instructions about how to use a metered-dose inhaler (MDI) to a client with chronic obstructive pulmonary disease. The nurse concludes that additional teaching is needed when the client demonstrates which technique? Places the tip of the inhaler just past the lips Holds the inspired breath for at least 3 seconds Activates the inhaler during inspiration Inhales rapidly with the lips sealed around the nebulizer opening

Inhales rapidly with the lips sealed around the nebulizer opening

774) A client with myasthenia gravis is to receive immunosuppressive therapy with corticosteroids. Which mechanism of action assures the nurse that this therapy will be effective? Inhibits the breakdown of acetylcholine at the neuromuscular junction Stimulates the production of acetylcholine at the neuromuscular junction Decreases the production of autoantibodies that attack acetylcholine receptors Promotes the removal of autoantibodies that impair the transmission of impulses

Inhibits the breakdown of acetylcholine at the neuromuscular junction

792) A client receiving corticosteroid therapy states, 'I have difficulty controlling my temper, which is so unlike me, and I don't know why this is happening.' How will the nurse respond? Tell the client it is nothing to worry about. Reassure that everyone does this at times. respiratory pharmacology Instruct the client to attempt to avoid situations that cause irritation. Inquire about mood swings.

Inquire about mood swings.

664) A client is prescribed albuterol to relieve severe asthma. Which adverse effects will the nurse instruct the client to anticipate? Select all that apply. One, some, or all responses may be correct. Tremors Lethargy Palpitations Bronchoconstriction Decreased pulse rate

Palpitations Tremors

689) Which information would the nurse include when teaching a client about warfarin? Periodic blood testing is necessary. Increase intake of green leafy vegetables. Limit the amount of daily physical activity. It should be continued for minor surgical procedures.

Periodic blood testing is necessary.

658) A client with chronic obstructive pulmonary disease prepares to take a medication that is delivered via a nebulizer. Which instruction would the nurse provide when teaching about use of the nebulizer? 'Hold your breath, spray the medication into your mouth, then inhale deeply.' 'Depress the canister as you inhale deeply, then hold your breath for at least 10 seconds.' 'Seal your lips around the mouthpiece and breathe in and out, taking slow, deep breaths.' 'Inhale the medication from the nebulizer, remove the mouthpiece to exhale and then repeat.'

Seal your lips around the mouthpiece and breathe in and out, taking slow, deep breaths

296) Which side effect of prolonged cortisone therapy for adrenal insufficiency would the nurse teach the client and family to expect? Select all that apply. One, some, or all responses may be correct. Oliguria Anorexia Weakness Moon face Weight gain Nervousness

Weakness Moon face Weight gain

1186) A client with systemic lupus erythematosus is taking prednisone. Which foods would the nurse encourage the client to eat while receiving treatment to prevent hypokalemia? Broccoli Oatmeal Fried rice Cooked carrots

Broccoli

318) Which intervention would the nurse anticipate providing teaching on when a client presents with extensive lesions caused by psoriasis? Advising sunscreen and special clothing Topical application of steroids Potassium permanganate baths Débridement of necrotic plaques

Topical application of steroids