Nokea
The antidiabetic also effective in lowering the cholesterol level is
- A. Rosiglitazone
- B. Metformin
- C. Chlorpropamide
- D. Repaglinide
Correct Answer: B
Rationale: Metformin's the cholesterol-trimming antidiabetic cuts glucose and lipids, a dual chronic win. Rosiglitazone ups insulin sensitivity, risks heart fat; chlorpropamide pumps insulin, no lipid perk; repaglinide's quick insulin hit misses cholesterol. Nurses flag metformin's bonus, a type 2 staple with vascular edge.
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A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?
- A. Yogurt
- B. Leafy green vegetables
- C. Oranges
- D. Cashews
Correct Answer: B
Rationale: Iron deficiency craves heme leafy greens like spinach pack non-heme iron, boosting hemoglobin, a diet fix over dairy's low yield. Oranges aid absorption, not iron itself; cashews offer some, less potently. Nurses plan greens, pairing with vitamin C, a practical lift for this anemic client's blood.
Changes in blood lipids often occur in people who have been diagnosed with metabolic syndrome. Question: Which of the following abnormalities is most consistent with metabolic syndrome?
- A. Increased triglyceride with decreased LDL cholesterol
- B. Increased triglyceride with increased LDL cholesterol
- C. Increased triglyceride with decreased HDL cholesterol
- D. Decreased triglyceride with increased HDL cholesterol
Correct Answer: C
Rationale: Metabolic syndrome's lipid mark triglycerides up, HDL down fits the frame, not LDL swings or triglyceride drops. Nurses clock this, a chronic fat flag.
The family of a neutropenic client reports that the client is confused and 'is not acting right.' What action by the nurse is the priority?
- A. Delegate taking a set of vital signs
- B. Ask the client about pain
- C. Look at today's laboratory results
- D. Assess the client for a urinary tract infection
Correct Answer: A
Rationale: Neutropenia slashes immunity confusion screams infection, like sepsis, needing instant vitals to catch fever or shock, a priority delegated to flag danger fast per ABCs. Pain's a clue, but vitals trump. Labs lag; UTI assessment follows. Nurses lean on teamwork, ensuring rapid data in this infection-prone fog, a life-saving first step.
A nurse is providing discharge teaching to a client who recently underwent a mechanical valve replacement. Which of the following statements by the client indicates the clients correct understanding of the discharge teaching regarding warfarin anticoagulant therapy?
- A. I may need to modify my diet while on this medication
- B. I do not need to take my prescribed medication for the rest of my life
- C. Additional monitoring is not required while on the anticoagulant
- D. I can lead a normal life while on anticoagulants; no restrictions are required
Correct Answer: A
Rationale: Mechanical valves demand warfarin forever diet tweaks, like steady vitamin K, keep INR stable, a sign the client gets it. Lifelong meds, monitoring, and restrictions (e.g., bleeding risk) are non-negotiable. Nurses cheer this dietary nod, ensuring warfarin's tightrope walk succeeds, a smart grasp in this valve swap life.
Tetanus:
- A. typically has an incubation period of 23 days
- B. immunization status is particularly poor in elderly women
- C. toxoid is more effective by S.C. injection
- D. IgG will provide passive protection for about a week
Correct Answer: B
Rationale: Tetanus 7-10 days incubate, elderly women lag shots, IM toxoid, Ig lasts longer, pregnancy's fine. Nurses tag this chronic gap.