Nokea
A child with severe asthma is being treated oral prednisone. Which of the following adverse effects is of particular concern?
- A. Hypoglycemia
- B. Hirsutism
- C. Growth suppression
- D. Cushing syndrome
Correct Answer: C
Rationale: Growth suppression is a significant concern in children on long-term prednisone due to its impact on bone growth and development.
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The nurse is assessing a client with diabetes who reports several hypoglycemic episodes during the past 3 weeks. What assessment question best addresses a potential causative factor?
- A. Do you ever take St. John's wort?'
- B. Have you used any recreational drugs in the past few weeks?'
Correct Answer: A
Rationale: St. John's wort can affect glucose metabolism and drug interactions, potentially causing hypoglycemia in diabetics.
A nurse is providing teaching to a client who has type 2 Diabetes Mellitus and is starting Repaglinide. Which of the following statements by the client indicates understanding of the administration of this medication?
- A. I'll take this medicine with my meals.
- B. I'll take this medicine 30 minutes before I eat.
- C. I'll take this medicine just before I go to bed.
- D. I'll take this medicine as soon as I wake up in the morning.
Correct Answer: B
Rationale: Repaglinide is taken 15-30 minutes before meals to control postprandial glucose.
Antiemitic used to prevent aspiration in emergency surgery
- A. Ondansetrone
- B. Promethazine
- C. Metoclopromide
- D. Ranitidine
Correct Answer: B
Rationale: Promethazine (antihistamine) prevents aspiration with sedative effects.
A nurse in an acute care facility is caring for a client who is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication?
- A. Intestinal ileus
- B. Neutropenia
- C. Deurium
- D. Hyperthermia
Correct Answer: C
Rationale: Nitroprusside can cause delirium (C, likely typo for delirium), a CNS side effect in toxicity.
Phenytoin decreases folic acid absorption by:
- A. Altering the pH of the stomach
- B. Increasing gastric emptying time
- C. Inhibiting intestinal enzymes required for folic acid absorption
- D. Chelation of the folic acid into inactive ingredients
Correct Answer: C
Rationale: Phenytoin inhibits intestinal conjugase enzymes, reducing folic acid absorption.