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 medication?
Methylprednisolone
Ondansetron
Guaifenesin
Amoxicillin
The Correct Answer is A
A. Methylprednisolone: This corticosteroid is commonly used to reduce inflammation in conditions like pneumonia. One of its known adverse effects is hyperglycemia, especially during stress or infection, due to its role in increasing gluconeogenesis and decreasing peripheral glucose uptake.
B. Ondansetron: This antiemetic is used to prevent nausea and vomiting. It does not significantly affect blood glucose levels and is not associated with hyperglycemia as an adverse effect.
C. Guaifenesin: As an expectorant, guaifenesin helps loosen mucus in the airways but has no known effect on glucose metabolism. It is not linked to elevated blood glucose in clinical use.
D. Amoxicillin: This antibiotic is effective in treating bacterial pneumonia but does not impact glucose levels. Hyperglycemia is not a typical adverse effect of this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sacrum: The sacrum is typically assessed for pressure injuries but is not the most reliable site for detecting cyanosis in clients with dark skin because of variable pigmentation.
B. Shoulders: The shoulders have significant pigmentation and are not ideal for assessing cyanosis in dark-skinned clients due to difficulty distinguishing color changes.
C. Area of trauma: Trauma sites may show redness or bruising unrelated to cyanosis, making them unreliable for assessing oxygenation status.
D. Palms of the hands: The palms have less melanin and are lighter in color, making them a better site to observe for cyanosis in clients with dark skin due to clearer visualization of bluish discoloration.
Correct Answer is C
Explanation
A. Insert an indwelling urinary catheter: Monitoring urine output is essential for assessing renal perfusion and fluid status. However, it should be done only after hemodynamic stability is established and internal bleeding is ruled out, as catheterization can pose risks if pelvic fractures are present.
B. Administer packed RBCs: Blood transfusion is necessary if the client is actively bleeding or hemodynamically unstable. However, access must first be secured to safely administer the transfusion, making IV insertion a priority.
C. Place a large-bore IV catheter in an upper extremity: Establishing IV access is the first step in stabilizing a trauma patient. It allows for rapid fluid resuscitation, administration of medications, and drawing of lab specimens necessary for further assessment.
D. Obtain a specimen for ABG analysis: Evaluating gas exchange and acid-base balance is important in trauma care, but it is not immediately life-saving. It should follow stabilization efforts like fluid resuscitation and hemorrhage control.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.