A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?<\/p>\n\n\n\n
A.
Prior episode of kidney stones<\/p>\n\n\n\n
B.
Taking levothyroxine orally<\/p>\n\n\n\n
C.
Has a systemic fungal infection<\/p>\n\n\n\n
D.
History of asthma<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is C. Has a systemic fungal infection<\/strong>.<\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n Prednisone is a corticosteroid commonly used to reduce inflammation and suppress the immune system. While it can be highly effective in treating a variety of conditions, there are certain contraindications and precautions that need to be considered before initiating therapy.<\/p>\n\n\n\n Systemic Fungal Infection:<\/strong> Other Options:<\/strong><\/p>\n\n\n\n A. Prior Episode of Kidney Stones:<\/strong> B. Taking Levothyroxine Orally:<\/strong> D. History of Asthma:<\/strong> In summary, the presence of a systemic fungal infection is a critical contraindication to prednisone therapy due to the risk of exacerbating the infection and compromising the patient\u2019s health.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy? A.Prior episode of kidney stones B.Taking levothyroxine orally C.Has a systemic fungal infection D.History of asthma The correct answer and Explanation is : The […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-139781","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=139781"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139781\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139781"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139781"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Prednisone, like other corticosteroids, can suppress the immune system. This immunosuppressive effect can worsen existing infections or increase susceptibility to new infections. Systemic fungal infections, in particular, pose a significant risk because the immune suppression caused by prednisone can allow the infection to proliferate and spread, leading to severe complications. Therefore, starting prednisone in a patient with an active systemic fungal infection is contraindicated. In such cases, it is crucial to address the infection first before considering corticosteroid therapy.<\/p>\n\n\n\n
A history of kidney stones is not an absolute contraindication for prednisone therapy. While corticosteroids can affect calcium metabolism and potentially exacerbate conditions related to stone formation, this does not typically prevent their use. It may warrant close monitoring and preventive measures, but it is not a direct contraindication.<\/p>\n\n\n\n
Levothyroxine, a thyroid hormone replacement, is not contraindicated with prednisone use. There is no direct interaction that would make concurrent use of these medications unsafe, although monitoring thyroid function may be necessary as corticosteroids can influence metabolism.<\/p>\n\n\n\n
A history of asthma is not a contraindication to prednisone therapy. In fact, prednisone is frequently used to manage acute exacerbations of asthma due to its potent anti-inflammatory effects. It is, however, important to monitor for potential side effects and adjust treatment as needed.<\/p>\n\n\n\n