A nurse is caring for a client who is diagnosed with diabetes mellitus type 2. The client received insulin via the subcutaneous (SQ) route, which was given by the primary nurse and verified with a secondary nurse. One hour after administration, the client was not able to follow commands with a blood glucose reading of 30 mg/dL. The nurse should expect an order for which of the following medications?

Metformin (Glucophage)

Glucagon (GlucaGen)

Glipizide (Glucotrol)

Insulin

Answer and Explanation

The Correct Answer is B

A.   Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B.   Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C.   Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D.   Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.

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Correct Answer is D

Explanation

Rationale
A. Celecoxib is a second-generation NSAID that specifically inhibits COX-2 enzymes and is less likely to cause gastrointestinal side effects compared to first-generation NSAIDs.
B. Morphine sulfate is an opioid analgesic and does not have NSAID properties. It works by binding to opioid receptors to relieve pain.
C. Metformin is an oral medication used to manage blood glucose in type 2 diabetes and is not an NSAID.
D. Ibuprofen is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes, reducing pain, inflammation, and fever.

A. Distribution B. Metabolism C. Absorption D. Excretion

Correct Answer is D

Explanation

A. Distribution: This phase involves the transportation of the drug throughout the body after absorption, not removal.
B. Metabolism: This phase involves the chemical alteration of the drug in the body, often in the liver, not its removal.
C. Absorption: This phase involves the drug entering the bloodstream after administration.
D. Excretion: This is the phase where the drug or its metabolites are removed from the body through various routes such as the kidneys, gastrointestinal tract, skin, or lungs.

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Naxlex Comprehensive Predictor Exams

The nurse is providing an in-service on non-steroidal anti-inflammatory drugs (NSAIDs). Which of the following medications is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes?

Correct Answer is D

Explanation

Which of the following phases of pharmacokinetics is described as the removal of the drug or its metabolites through the kidneys, gastrointestinal tract, skin, or lungs?

Correct Answer is D

Explanation

A client is newly diagnosed with erectile dysfunction and has been prescribed sildenafil (Viagra). Which of the following statements should the nurse NOT include in her client education about sildenafil (Viagra)? (Select All That Apply.).

The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?

The nurse is preparing to administer hydration via an intravenous route to a client. The nurse understands that the patient needs an isotonic solution. Which of the following options is considered an isotonic solution?

A client is being admitted for hypernatremia. A nurse is preparing to administer 0.45% sodium chloride 500 mL IV to the client over 2 hours. The nurse should set the IV pump to deliver how many mL/hr?

A nurse is providing an in-service on raloxifene (Evista) to a group of female clients. What is the pregnancy risk category of raloxifene (Evista)?

The nurse is considering administering a medication for the client's concern of diarrhea. Which of the following medications is indicated to decrease diarrhea?

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