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)

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale: Addressing the obstruction and restoring urinary flow is a priority to prevent complications.

Choice B rationale: Managing pain caused by the stone obstruction is essential for the client's comfort and well-being.

Choice C rationale: Preventing urinary stasis and subsequent infection is crucial to avoid sepsis.

Choice D rationale: Education about prevention, though important, might have a lower priority compared to addressing immediate complications like obstruction and pain.

A. A 6 year old that is presenting with polyuria, polydipsia, abdominal pain, and vomiting B. A 66 year old with type I diabetes that has ketones present in their urine. C. A 72 year old with a health history of diabetes who has a blood glucose of 300 mg/dL and is complaining of thirst and frequent urination. D. A 69 year old admitted with an infection of the right foot with a health history of diabetes that reports missing several doses of Metformin and has a blood glucose of 600 mg/dL.

Correct Answer is D

Explanation

Choice A rationale: This may indicate a different condition such as gastroenteritis rather than Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS).

Choice B rationale: This is more indicative of diabetic ketoacidosis (DKA) rather than HHNS.

Choice C rationale: A 72-year-old with a history of diabetes, elevated blood glucose, and complaints of thirst and frequent urination might have uncontrolled diabetes, but the absence of severe hyperglycemia and other symptoms specific to HHNS makes this choice less likely.

Choice D rationale: This fits the criteria for HHNS. The infection, missed medication, and extremely high blood glucose levels suggest the possibility of Hyperglycemic Hyperosmolar Nonketotic Syndrome.

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Naxlex Comprehensive Predictor Exams

When planning care for a client with right ureteral renal calculi, which of the following nursing diagnosis has the less priority of care while caring for this patient?

Correct Answer is D

Explanation

Which of the following patients is most likely experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms?

Correct Answer is D

Explanation

The nurse is performing an assessment of a client with possible plantar fasciitis in the right foot. What assessment finding would the nurse expect in the right foot?

The nurse is caring for a client suspected of having an endocrine disorder. Exhibits Based on the client's laboratory data, the client is at the highest risk for which condition?

A 54-year-old patient admitted with type 2 diabetes asks the nurse what "type 2" means. What is the most appropriate response by the nurse?

The nurse assesses a client with damage to cranial nerve III. Which finding would be expected?

Which of the following imagine the nurse will recognize as a positive evidence of adenomyosis?

The nurse is reviewing the record of a female client with Crohn's disease. Which stool characteristics should the nurse expect to note documented in the client's record?

Which complication is suspected in a client whose blood sugar is less than 30 mg/dL?

A client diagnosed with hypothyroidism has been taking the thyroid hormone levothyroxine for three months. Which client statement could indicate the client is receiving too much dose of the medication?