A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's blood glucose. The nurse should identify this finding as an adverse effect of which of the following medications?
Ondansetron
Guaifenesin
Amoxicillin
Methylprednisolone
The Correct Answer is D
A. Ondansetron: Ondansetron is an antiemetic that works by blocking serotonin receptors in the chemoreceptor trigger zone. It does not significantly affect glucose metabolism and is not associated with hyperglycemia.
B. Guaifenesin: Guaifenesin is an expectorant that thins respiratory secretions to aid clearance. It has no known effect on blood glucose levels or carbohydrate metabolism.
C. Amoxicillin: Amoxicillin is a broad-spectrum penicillin antibiotic. While it treats bacterial infections, it does not typically alter glucose metabolism or cause hyperglycemia as an adverse effect.
D. Methylprednisolone: Methylprednisolone is a corticosteroid that increases gluconeogenesis, decreases peripheral glucose uptake, and antagonizes insulin action. These mechanisms can lead to hyperglycemia, making it the likely cause of the observed increase in the child’s blood glucose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Schedule nursing staff training for infection control procedures: While staff education is essential to prevent catheter-associated infections, initiating training before identifying specific contributing factors may not address the root cause. Education should be targeted based on identified needs.
B. Revise the current policy for catheter care: Policy revision can improve compliance and standardization of care, but changing protocols without understanding why infections have increased may be ineffective or unnecessary.
C. Identify possible precipitating factors related to the infections: The first step in quality improvement is to assess and identify the underlying causes of the problem. Determining precipitating factors allows the facility to implement targeted interventions that effectively reduce catheter-associated infections.
D. Meet with providers to discuss measures to decrease the infections: Collaboration with providers is important for multidisciplinary interventions, but this should occur after identifying factors contributing to the increase in infections to ensure discussions are evidence-based and focused.
Correct Answer is ["B","C","E"]
Explanation
A. Discard bed linens from the client's room at the end of each day: Linens from a client with a sealed radiation implant are not considered radioactive and can be handled and laundered according to standard precautions. Daily disposal is unnecessary and does not enhance safety.
B. Wear a dosimeter film badge to measure exposure: Dosimeter badges monitor cumulative radiation exposure for healthcare personnel. Wearing a badge is essential to ensure staff exposure remains within regulatory limits and provides a record of occupational safety.
C. Place a caution sign on the client's door: Posting a radiation warning sign alerts staff and visitors to the presence of a radiation source, ensuring appropriate precautions are taken and minimizing unnecessary exposure.
D. Instruct visitors to remain 61 cm (2 feet) away from the client: Standard radiation safety guidelines recommend that visitors maintain a distance of at least 2 meters (6 feet) from the client, not just 2 feet, to reduce exposure. Limiting exposure time and increasing distance are critical safety measures.
E. Don a lead apron when providing care: Lead aprons provide shielding from ionizing radiation when close contact with the client is necessary. Wearing protective equipment minimizes radiation exposure to healthcare personnel while delivering care.
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