A nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6 Which of the following medications should the nurse plan to teach the client about first?

Insulin glargine

Regular insulin

Exenatide

Metformin

Answer and Explanation

The Correct Answer is D

A. Insulin glargine:
Insulin glargine is a long-acting insulin used to control blood sugar levels in people with diabetes. However, it is typically not the first-line choice for a client with a new diagnosis of metabolic syndrome and an HbA1c of 6.
B. Regular insulin:
Regular insulin is a short-acting insulin used to control blood sugar levels, but it is not typically the first choice for initial management of metabolic syndrome. It may be considered in certain situations, but other options are often explored first.
C. Exenatide:
Exenatide is a medication that belongs to the class of incretin mimetics and is used to improve blood sugar control. However, it may not be the first choice for initial treatment.
D. Metformin:
This is the correct answer. Metformin is a first-line medication for the treatment of type 2 diabetes and is commonly used to manage metabolic syndrome. It helps improve insulin sensitivity and reduce glucose production by the liver.

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Correct Answer is D

Explanation

A. Obtain a prescription for an alternative antibiotic:
Clindamycin is generally safe for penicillin-allergic clients there is no need for an alternative antibiotic.
B. Administer the clindamycin using a desensitization schedule:
Using a desensitization schedule is a specialized procedure typically reserved for certain situations and performed in a controlled environment. It is not a standard approach for administering antibiotics, and in this case, obtaining an alternative antibiotic is a more appropriate and straightforward solution.
C. Premedicate the client with epinephrine before administering the antibiotic:
Premedicating with epinephrine is not a routine practice for preventing allergic reactions to antibiotics. While epinephrine may be used in severe allergic reactions, it's not a preemptive measure in this context. It's important to address the underlying issue by avoiding the allergen (penicillin class) and using an alternative antibiotic.
D. Give the client the prescribed dose of the clindamycin:
Clindamycin is generally safe for penicillin-allergic clients since it belongs to the lincosamide class and does not share the beta-lactam ring structure responsible for allergic reactions to penicillins.

A. Cover the medication on the client's skin with a sterile gauze pad. B. Spread the medication over a 12.7 cm (5 in) area of the client's skin, C. Measure the dosage of medication using the applicator paper D. Apply the medication to the same site for three consecutive days

Correct Answer is B

Explanation

A. Cover the medication on the client's skin with a sterile gauze pad:
Nitroglycerin ointment is typically applied directly to the skin, and covering it with a sterile gauze pad is not a common practice. The ointment is absorbed through the skin.
B. Spread the medication over a 12.7 cm (5 in) area of the client's skin:
This is the correct answer. Nitroglycerin ointment is usually applied to a specific area of the skin, and the recommended area is often around 12.7 cm (5 inches). The nurse should spread the ointment evenly over this specified area.
C. Measure the dosage of medication using the applicator paper:
Nitroglycerin ointment is typically measured using a dosing strip or measuring paper provided with the medication. Using the applicator paper to measure the appropriate dosage is a common practice.
D. Apply the medication to the same site for three consecutive days:
Nitroglycerin ointment is often rotated to different sites to prevent local irritation or tolerance. It is not typically applied to the same site for three consecutive days.

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A nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6 Which of the following medications should the nurse plan to teach the client about first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer clindamycin to a client who states she forgot to report to the provider that she is allergic to penicillin, Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to administer nitroglycerin topical ointment to a client. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who is to receive a series of allergy tests. The nurse should instruct the client to avoid which of the following medications for up to 4 weeks before the procedure?

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