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 ["A","C","E"]
Explanation
A. In patients who have renal disease. Diuretics can be used in renal disease to help manage fluid overload, although caution is needed based on the specific renal condition.
B. In patients who have fluid retention during pregnancy. Diuretics are typically avoided during pregnancy unless absolutely necessary due to potential risks to the fetus.
C. In patients with heart failure. Diuretics are a cornerstone of treatment for heart failure, helping to reduce fluid overload and improve symptoms.
D. In patients who are obese. While diuretics can be used for conditions associated with obesity, they are not specifically recommended for obesity alone without other indications.
E. In patients who have hypertension. Diuretics are commonly prescribed as first-line treatment for hypertension, helping to reduce blood volume and lower blood pressure.
Correct Answer is D
Explanation
A. Bradycardia: Bradycardia is not a common side effect of diphenhydramine. This medication primarily causes sedation and anticholinergic effects.
B. Hypertension: Hypertension is not commonly associated with diphenhydramine, which tends to have more sedative and anticholinergic side effects.
C. Bleeding: Bleeding is not a known side effect of diphenhydramine. It does not affect clotting mechanisms or platelet function.
D. Sedation: Sedation is a common side effect of diphenhydramine, which is an antihistamine with sedative properties. Clients should be advised about possible drowsiness and to avoid activities that require alertness, like driving, while taking it.