Nokea
A nurse is monitoring a client's response to receiving glipizide instead of guaifenesin. Which of the following actions should the nurse take?
- A. Lower the head of the client's bed.
- B. Check the client for urinary retention
- C. Offer the client a carbohydrate snack.
- D. Test the client's deep-tendon reflexes.
Correct Answer: C
Rationale: The correct answer is C: Offer the client a carbohydrate snack. Glipizide is an oral antidiabetic medication that can lower blood sugar levels by stimulating the release of insulin from the pancreas. If the client receives glipizide instead of guaifenesin (an expectorant), there is a risk of hypoglycemia due to the medication's blood sugar-lowering effects. Offering a carbohydrate snack can help prevent or treat hypoglycemia by quickly raising blood sugar levels. Lowering the head of the bed (A), checking for urinary retention (B), and testing deep-tendon reflexes (D) are not directly related to the client's response to glipizide.
You may also like to solve these questions
Nurses' Notes
Medication Reconciliation
Medicine Prescriptions
1 week ago:
Client who was diagnosed with asthma during childhood presents to the clinic with increased night-time coughing and shortness of breath during activities of daily living. The client reports increased use of their rescue inhaler. The client has a non-productive cough and inspiratory and expiratory wheezing heard during auscultation. Client prescribed prednisone and requested to follow up in 5 to 7 days.
Today:
The client reports their asthma symptoms have improved since beginning the prednisone. Lung sounds clear with occasional wheezing. The client has gained 1.36 kg (3 lb) since the last visit. The client states they received the "flu shot" 3 days ago to avoid getting sick. The client states they hurt their back while moving the couch 5 days ago and have been taking ibuprofen twice daily since then.
Complete the following sentence by using the lists of options: The client is most at risk for developing ___ due to their ___.
- A. Cushing syndrome
- B. influenza
- C. peptic ulcers
- D. NSAID use
- E. recent immunization
- F. weight gain
Correct Answer: C,D
Rationale:
The correct answer is C,D because the client is at risk for developing peptic ulcers due to NSAID use. NSAIDs can cause irritation and damage to the stomach lining, leading to peptic ulcers. The other options, such as Cushing syndrome (A), influenza (B), recent immunization (E), and weight gain (F), are not directly related to the client's risk of developing peptic ulcers due to NSAID use.
A nurse is caring for a client who has ulcerative colitis and is receiving sulfasalazine. Which of the following findings requires immediate intervention?
- A. Anorexia
- B. Arthralgia
- C. Nausea
- D. Wheezing
Correct Answer: D
Rationale: The correct answer is D: Wheezing. Wheezing is a sign of a severe allergic reaction to sulfasalazine, known as Stevens-Johnson syndrome, which is a medical emergency requiring immediate intervention to prevent respiratory distress and potential anaphylaxis. Anorexia, arthralgia, and nausea are common side effects of sulfasalazine but do not indicate an immediate threat to the client's well-being. Wheezing is the most critical finding that needs urgent attention.
Nurses' Notes
Vital Signs
Laboratory Results
0800:
Client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools per day.
Client was taking amoxicillin/clavulanate 875 mg PO every 12 hr for 10 days for a respiratory tract infection. Antibiotics completed 7 days ago.
Bilateral breath sounds clear and present throughout.
Abdomen soft, distended with hyperactive bowel sounds audible in all 4 quadrants.
Stool is watery and contains mucous. Stool sent for culture.
A nurse is assisting in the care of a female client.
Complete the following sentence by using the lists of options: The nurse should first address the client ___ followed by the client's ___.
- A. blood pressure
- B. Hgb level
- C. temperature
- D. potassium level
- E. abdominal findings
- F. Hct level
Correct Answer: A,D
Rationale: Sure, here is the detailed explanation for the correct answer :
1. **Blood pressure (A)**: The nurse should first address the client's blood pressure as it is a vital sign that provides immediate information about the client's cardiovascular health and overall perfusion status.
2. **Potassium level (D)**: Following the assessment of blood pressure, addressing the client's potassium level is important as potassium imbalances can have critical implications on cardiac function and require prompt intervention.
**Summary**:
- **Incorrect Choices**:
- B: Hgb level and F: Hct level are related to blood components and not typically the first priority in a general assessment.
- C: Temperature is important but may not be the immediate priority compared to blood pressure and potassium level.
- E: Abdominal findings are important but may not be the initial focus in this context.
- **Correct Choices**:
- A: Blood pressure and D: Potassium level are crucial in
A nurse is caring for a client who has Graves' disease and is to start therapy with propylthiouracil. The nurse should expect which of the following outcomes?
- A. Increased Hct
- B. Decreased WBC count
- C. Decreased heart rate
- D. Increased blood pressure
Correct Answer: C
Rationale: The correct answer is C: Decreased heart rate. Propylthiouracil is an antithyroid medication used to treat hyperthyroidism, such as Graves' disease. It works by inhibiting the production of thyroid hormones. A decreased heart rate is an expected outcome as hyperthyroidism can cause tachycardia (increased heart rate), and treatment with propylthiouracil helps normalize heart rate.
Incorrect options:
A: Increased Hct - Propylthiouracil does not affect hematocrit levels.
B: Decreased WBC count - Propylthiouracil does not typically affect white blood cell count.
D: Increased blood pressure - Propylthiouracil does not lead to an increase in blood pressure.
A nurse is reinforcing teaching with a client who has a new prescription for alendronate for the treatment of osteoporosis. The nurse should instruct the client to monitor for which of the following adverse effects?
- A. Anorexia
- B. Jaw pain
- C. Insomnia
- D. Bruising
Correct Answer: B
Rationale: The correct answer is B: Jaw pain. Alendronate, a bisphosphonate medication used to treat osteoporosis, can cause a rare but serious side effect called osteonecrosis of the jaw (ONJ), characterized by jaw pain, swelling, and possible infection. It is essential for the nurse to instruct the client to monitor for any signs of jaw pain to promptly report to their healthcare provider. Anorexia (A), insomnia (C), and bruising (D) are not typically associated with alendronate use for osteoporosis and would not be common adverse effects that the client needs to monitor for.