A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?

Urine specific gravity

Hemoglobin AIC (Hb AIC)

Dual-energy x-ray absorptiometry (Dexa scan)

Lumbar puncture

Answer and Explanation

The Correct Answer is C

Alendronate is a bisphosphonate used in clients with osteoporosis of different origins. It is used to increase bone density. Dexa scan is used to assess bone mineral density in osteoporotic clients
A,B,D-Alendronate has no effect of urine specific gravity, Blood sugar levels or cerebrospinal fluid

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Correct Answer is B

Explanation

Hypoglycemia is a potential complication of parenteral nutrition, especially if the infusion rate is too high or if the infusion is interrupted. The nurse should promptly address hypoglycemia by administering IV dextrose, which will help raise the client's blood glucose levels.
A. Discontinuing the infusion may be necessary if the cause of hypoglycemia is related to the parenteral nutrition solution or if the infusion rate needs adjustment. However, the immediate priority is to treat the hypoglycemia by providing a glucose source.
C. Warming the formula to room temperature is not relevant to treating hypoglycemia. Warming the formula might be done for other reasons, such as improving tolerance or reducing discomfort during administration.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia. Arterial blood gases are typically obtained to assess oxygenation and acid-base balance, not glucose levels.

A. Administer epinephrine 1M. B. Replace the infusion with 0.9% sodium chloride. C. Give diphenhydramine 1M, D. Elevate the client's legs and feet.

Correct Answer is A

Explanation

Epinephrine is administered as a priority in anaphylactic reaction to counter the mechanism of the reaction. Epinephrine helps to reverse the severe allergic response by constricting blood vessels, relaxing smooth muscles in the lungs to improve breathing, and reducing swelling and hives. It is typically administered intramuscularly (IM) into the thigh.

B-Replacing the infusion is important to maintain intravascular volume and blood pressure in the event of hypotension associated with the anaphylactic reaction but not a priority

C-Diphenhydramine helps in managing the cutaneous allergic manifestations but does not address the life-threatening effects

D-Elevation of the client’s feet and legs is not necessary

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A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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