A client with diabetes mellitus visits a health care clinic. The client's diabetes previously had been well controlled with glyburide (Diabeta), 5 mg PO daily, but recently, the fasting blood glucose has been running 180-200 mg/dl. Which medication, if added to the clients regimen, may have contributed to the hyperglycemia?
phenelzine (Nardil)
allopurinol (Zyloprim)
Metoprolol (Lopressor)
Methylprednisolone (Medrol pack)
The Correct Answer is D
Choice A rationale: Phenelzine is an antidepressant that typically does not affect blood glucose levels significantly.
Choice B rationale: Allopurinol, used for gout, is not known to significantly impact blood glucose levels.
Choice C rationale: Metoprolol, a beta-blocker, might mask some symptoms of hypoglycemia but is not typically associated with causing hyperglycemia.
Choice D rationale: Methylprednisolone, a corticosteroid, can elevate blood glucose levels and might contribute to hyperglycemia in a person with diabetes mellitus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: These symptoms are more indicative of diabetic ketoacidosis, not hypoglycemia.
Choice B rationale: Symptoms of increased urination, thirst, and hunger are more associated with hyperglycemia, not hypoglycemia.
Choice C rationale: These are classic signs of hypoglycemia and should be described to the client for early recognition and intervention.
Choice D rationale: These symptoms can occur in hypoglycemia but are less specific compared to sweating, cold, trembling, and tachycardia.
Correct Answer is A
Explanation
Choice A rationale: This instruction helps to promote airflow and prevent moisture accumulation, aiding in vaginitis recovery.
Choice B rationale: Yogurt with live cultures containing lactobacilli can actually help restore the natural balance of bacteria in the vagina and can be beneficial for some types of vaginitis.
Choice C rationale: Oral contraceptives are not a treatment for vaginitis and do not impact the condition.
Choice D rationale: Douching can disrupt the vaginal pH and natural bacterial balance, potentially exacerbating vaginitis.
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