A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
Hypertension
Polyuria
Oral candidiasis
Hypoglycemia
The Correct Answer is C
A. Hypertension: While systemic corticosteroids can lead to hypertension, fluticasone, when inhaled, typically has minimal systemic effects.
B. Polyuria: Polyuria is more associated with systemic corticosteroids or diabetes management, not with inhaled fluticasone.
C. Oral candidiasis: Inhaled corticosteroids like fluticasone can lead to oral thrush, so rinsing the mouth after use is advised to prevent this.
D. Hypoglycemia: Corticosteroids typically cause hyperglycemia rather than hypoglycemia.
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Correct Answer is B
Explanation
A. “If my breathing begins to feel tight, I will use the fluticasone immediately." Fluticasone is a corticosteroid, and it is not a rescue medication. It is used for long-term control and does not provide immediate relief for acute symptoms.
B. "I will be sure to use the albuterol nebulizer before the fluticasone." Albuterol is a bronchodilator and should be used first to open the airways, allowing better absorption of fluticasone when used afterward.
C. "I do not need to rinse my mouth after completing the albuterol and fluticasone." Rinsing the mouth after using fluticasone (a corticosteroid) is important to prevent oral thrush. Albuterol alone does not require rinsing, but fluticasone does.
D. "I will use both medications immediately after exercising." Albuterol is often used as a pre-exercise medication for asthma, but fluticasone should be used as directed for maintenance, not as an immediate post-exercise medication.
Correct Answer is A
Explanation
A. BUN 45 mg/dL and creatinine 8 mg/dL: These levels indicate significant kidney impairment; elevated BUN and creatinine levels are typical in chronic kidney disease.
B. BUN 8 mg/dL and creatinine 0.7 mg/dL: These values are within normal limits and suggest good kidney function, not indicative of chronic kidney disease.
C. BUN 10 mg/dL and creatinine 0.3 mg/dL: These values are much lower than expected in chronic kidney disease, indicating normal renal function.
D. BUN 23 mg/dL and creatinine 1.0 mg/dL: While these levels show mild elevation, they do not reflect the more severe impairment typically seen in chronic kidney disease.