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- A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”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 implementing which priority intervention? a) Administering insulin intravenously b) Administering intravenous fluids and electrolytes c) Administering bicarbonate therapy d) Administering antidiabetic medicationsWhen administering beta blockers, the nurse will follow which guideline for administration and monitoring?a) The drug may be discontinued at any time.b) Postural hypotension rarely occurs with this drug.c) Tapering off the medication is necessary to prevent rebound hypertension.d) The patient needs to stop taking the medication at once if he or she gains 3 to 4 pounds in a week
- A client is receiving haloperidol (Haldol). He has stiff muscles, restlessness and internal jumpiness. Which one would be MOST appropriate for the nurse to administer to decrease the client's symptoms? Question 8 options: a) Benztropine mesylate b) Lorazepam c) Risperidone d) Olanzapine1). A patient with diabetes is prescribed a new oral antidiabetic medication. The nurse is responsible for patient education. What key information should the nurse provide regarding medication administration, potential side effects, and lifestyle modifications to support optimal diabetes management?The nurse is teaching a patient about treatment with an SSRI antidepressant. Which teaching considerations are appropriate? (Select all that apply.) a )The patient should be told which foods contain tyramine and instructed to avoid these foods. b) The patient should be instructed to use caution when standing up from a sitting position. c )The patient should not take any products that contain the herbal product St. John’s wort. d )This medication should not be stopped abruptly. e )Drug levels may become toxic if dehydration occurs. f )The patient should be told to check with the prescriber before taking any over-the-counter medications.
- When 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 thirsThe 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 constipationA student with diabetes is in a class with an upcoming field trip. What is the appropriate protocol?a) Inform the parents that students with diabetes cannot participate in field trips, because they require nursing care.b) Contact the student’s parents to ask them to accompany the child on the field trip.c) Notify a Nursing Supervisor, the Diabetes Resource Nurse, the principal, and the 504 coordinators so that the nursing services the particular child requires can be provided on the field trip.
- The nurse is receiving an older adult client from the PACU. Part of the report had been passed on from the preoperative assessment where it was noted that the client has been agitated in the past following opioid administration. What principle should guide the nurse's management of the client's pain? a. The elderly may require lower doses of medication and are easily confused with new medications. b. The elderly may have altered absorption and metabolism, which prohibits the use of opioids. c. The elderly may be confused following surgery, which is an age-related phenomenon unrelated to the medication. d. The elderly may require a higher initial dose of pain medication followed by a tapered dose.The 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 palmettoThe nurse keeps in mind that which measure is used to reduce the risk of medication errors? a) When questioning a drug order, keep in mind that the prescriber is correct. b )Be careful about questioning the drug order a board-certified physician has written for a patient. c )Always double-check the many drugs with sound-alike and look-alike names because of the high risk of error. d )If the drug route has not been specified, use the oral route