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A nurse is assessing a client who is taking beclomethasone. Which of the following findings is the priority to report to the provider?

A.

White coating in the mouth.

B.

Nausea.

C.

Myalgia.

D.

Headache.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

A white coating in the mouth can indicate oral thrush, a common side effect of inhaled corticosteroids like beclomethasone. This requires prompt treatment to prevent further complications.

 

Choice B rationale

 

Nausea is a less common side effect of beclomethasone and is not as urgent as oral thrush.

 

Choice C rationale

 

Myalgia (muscle pain) is a less common side effect and not as critical as oral thrush.

 

Choice D rationale

 

Headache is a common side effect but not as urgent as oral thrush.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Phenytoin is an anticonvulsant used to control seizures and is not indicated for the treatment of adrenal insufficiency.

Choice B rationale

Calcitonin is used to treat conditions like osteoporosis and hypercalcemia, not adrenal insufficiency.

Choice C rationale

Buspirone is an anxiolytic used to treat anxiety disorders and is not used for adrenal insufficiency.

Choice D rationale

Fludrocortisone is a synthetic corticosteroid that is used to replace aldosterone in patients with adrenal insufficiency. It helps maintain sodium balance and blood pressure.

Correct Answer is C

Explanation

Choice A rationale

Incorrect packaging, such as a topical medication packaged as an oral medication, can lead to medication errors. However, it is not the most frequent cause of fatal medication errors. Packaging errors are relatively rare and usually caught before administration.

Choice B rationale

Delivery device problems, such as an infusion pump malfunction, can cause medication errors. These errors can be serious but are not the most frequent cause of fatal medication errors. Device malfunctions are often detected and corrected by healthcare professionals.

Choice C rationale

Name confusion between two medications with similar sounding names is the most frequent cause of fatal medication errors. This type of error occurs when medications with similar names are confused, leading to the administration of the wrong drug. This can have serious and sometimes fatal consequences.

Choice D rationale

Incorrect labeling of a medication dispensed by the pharmacy can lead to medication errors. While labeling errors are a significant concern, they are not the most frequent cause of fatal medication errors. These errors are often identified and corrected before administration.

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