A patient with a history of type 2 diabetes presents to the emergency department with symptoms of diabetic ketoacidosis (DKA), including polyuria, polydipsia, and fruity breath odor. The nurse anticipates
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- The nurse would consider which of the following assessment findings as an adverse effect of sulfonylurea therapy? Question 70 options: a) Weight loss b) Hypoglycemia c) Gastrointestinal distress d) Lactic acidosisThe nurse is performing an assessment of a patient who is asking for a prescription for sildenafil (Viagra). Which finding would be a contraindication to its use? a )Age of 65 yearsb) History of thyroid diseasec) Medication list that includes nitratesd )Medication list that includes saw palmettoWhen monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for as an indication that the medication therapy is successful? a) Increased insulin levelsb )Decreased diarrheac )Improved nasal patencyd )Decreased thirs
- The nurse is revieing the history of a patient ho ill be starting the triptan sumatriptan (Imitrex) as part of treatment for migraine headaches. Which condition, if present, may be a contraindication to triptan therapy?a) Cardiovascular diseaseb) Chronic bronchitisc )History of renal calculid )Diabetes mellitus type 2A nurse is educating a patient with newly diagnosed type 2 diabetes mellitus about self-management of their condition. Which of the following pieces of advice is most critical for the nurse to convey to the patient to prevent acute complications?A) Inspect your feet daily for any cuts, blisters, or sores.B) Maintain a regular exercise routine, aiming for at least 150 minutes of moderate aerobic activity per week.C) Monitor your blood glucose levels at home using a glucometer.D) Make dietary changes to include a variety of fruits, vegetables, and whole grains.Which of the following should the nurse interpret as an indication of a complication after the first few days of TPN therapy? Question 77 options: a) Elevated temperature b) Elevated HbA1c c) Decreased appetite d) A 0.45-0.9 kg weight gain
- The nurse has provided patient education regarding therapy with the SERM raloxifene (Evista). Which statement from the patient reflects a good understanding of the instruction? a) “When I take that long flight to Asia, I will need to stop taking this drug at least 3 days before I travel.”b) “I can continue this drug even when traveling as long as I take it with a full glass of water each time.”c )“After I take this drug, I must sit upright for at least 30 minutes.”d )“One advantage of this drug is that it will reduce my hot flashes.”A patient experiencing ethanol withdrawal is beginning to show severe manifestations of delirium tremens. The nurse will plan to implement which interventions for this patient? (Select all that apply.) a )Doses of an oral benzodiazepineb )Doses of an intravenous benzodiazepine c) Restraints if the patient becomes confused, agitated, or a threat to himself or othersd )Thiamine supplementatione )Oral disulfiram (Antabuse) treatment f ) Monitoring in the intensive care unitThe nurse is reviewing new medication orders that have been written for a newly admitted patient. The nurse will need to clarify which orders? Select all that apply. a )Metformin (Glucophage) 1000 mg PO twice a dayb )Sitagliptin (Januvia) 50 mg dailyc) Simvastatin (Zocor) 20 mg PO every eveningd )Irbesartan (Avapro) 300 mg PO once a daye )Docusate (Colace) as needed for constipation
- A nurse is caring for a client with trichomoniasis and is prescribed metronidazole. What adverse effect should the nurse report immediately to the providerWhat are the nursing responsibilities for administering metoclopramide? Prior, during and after the administration.The new graduate nurse would question the order for laxative administration in which of the following clients? (Select all that apply.) A )65-year-old male with ulcerative colitis who is having a hip replacement. B)24-year-old female with a distended abdomen who has not passed stool for three days and has just arrived at the emergency department. C)40-year-old female who uses opioids for chronic pain.A D)An 18-year-old female trying to lose five more pounds for a beauty pageant. E)A 50-year-old male with chronic hemorrhoids who is having orthoscopic surgery.