NCLEX-RN

Category - Pharmacological

Harry, a 29-year-old radio announcer diagnosed with Bell’s palsy, was prescribed to take prednisone 30 mg/tab three times a day for six days. The nurse notes that the patient’s current weight is 62 kg. Equipped with this knowledge, the nurse’s next action is to:
  1. Proceed with giving the medication.
  2. Alert the physician.
  3. Check blood pressure first.
  4. Start the medication the next morning.
Explanation
Answer: B - The recommended dose of prednisone is one mg/kg or 60 mg/day for six days; the dose is tapered for a total of 10 days of therapy. Harry, who weighs 62 kg, should be given 62mg/day. The nurse should not proceed with administering this drug because it is over the recommended dose. When giving this drug, the nurse should watch out for side effects such as hypertension and hyperglycemia.
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