A client with type 1 diabetes is taking propranolol [Inderal], acting confused, and reports weakness and feeling shaky. What must the nurse check first?

Renal function tests

Capillary blood glucose level

Blood pressure

Serum electrolyte levels

Answer and Explanation

The Correct Answer is B

A. Renal function tests are important for overall health but are not the priority in this scenario.
B. Propranolol can mask the symptoms of hypoglycemia, which is a common complication in clients with type 1 diabetes. The nurse should first check the client's blood glucose level to assess for hypoglycemia.
C. While blood pressure is important, the symptoms described are more indicative of hypoglycemia.
D. Serum electrolyte levels might be relevant but are not the immediate concern with the described symptoms.

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Correct Answer is B

Explanation

A. Zolpidem can cause complex sleep behaviors like sleep-driving, and this side effect does not necessarily resolve after 2 weeks.
B. Zolpidem can lead to complex sleep behaviors, including sleep-driving, with associated memory loss.
C. Severe allergic reactions are not typically associated with memory loss and sleep-driving.
D. Toxic levels would present with more severe symptoms and are less likely to be solely characterized by sleep-driving.

A. Clients with new onset signs and symptoms of schizophrenia. B. Clients who have not responded to SSRIS and TCAs. C. In combination with an SSRI for clients with increased symptoms. D. Postpartum depression and lactating clients.

Correct Answer is B

Explanation

A. Phenelzine is not indicated for the treatment of schizophrenia.
B. Phenelzine, a monoamine oxidase inhibitor (MAOI), is typically reserved for clients with depression who have not responded to first-line treatments such as SSRIs and TCAs.
C. Combining an SSRI with an MAOI like phenelzine is contraindicated due to the risk of serotonin syndrome.
D. Phenelzine is generally not recommended for postpartum depression, especially in lactating clients, due to potential risks to the infant.

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A client with type 1 diabetes is taking propranolol [Inderal], acting confused, and reports weakness and feeling shaky. What must the nurse check first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed zolpidem (Ambien) for insomnia. The client's spouse reports that the patient drives at night but does not remember it in the morning. Which of the following explains this behavior?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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