A patient taking somatropin growth hormone needs to be educated on signs and symptoms of hyperglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY

Excessive urination

Excessive thirst

Diaphoresis

Atrial fibrillation

Excessive hunger

Answer and Explanation

Correct Answer : A,B,E

Choice A reason: Excessive urination is a sign of hyperglycemia because the body tries to flush out the excess glucose in the blood through the urine. This can also lead to dehydration and electrolyte imbalance.

Choice B reason: Excessive thirst is a sign of hyperglycemia because the body loses fluid and becomes dehydrated due to frequent urination. The thirst mechanism is activated to replenish the fluid loss.

Choice C reason: Diaphoresis is not a sign of hyperglycemia, but rather a sign of hypoglycemia (low blood sugar). Hypoglycemia can cause sweating, shakiness, anxiety, and confusion.

Choice D reason: Atrial fibrillation is not a sign of hyperglycemia, but rather a possible complication of hyperglycemia. Hyperglycemia can damage the blood vessels and the heart, increasing the risk of arrhythmias, such as atrial fibrillation.

Choice E reason: Excessive hunger is a sign of hyperglycemia because the body is unable to use the glucose in the blood for energy. The cells are starved of fuel, and the hunger signal is triggered to stimulate food intake..

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Correct Answer is D

Explanation

Choice A reason: This is incorrect because spironolactone does not affect the heart rate. Checking the heart rate before each dose is not necessary.

Choice B reason: This is incorrect because spironolactone does not interact with acetaminophen. Taking acetaminophen with spironolactone will not cause bleeding.

Choice C reason: This is incorrect because spironolactone does not cause dry cough or increase blood sugar. These are not signs of adverse effects of spironolactone.

Choice D reason: This is correct because spironolactone can cause hyperkalemia, which is a high level of potassium in the blood. Bananas, cantaloupe, and spinach are high-potassium foods that should be avoided by clients taking spironolactone.

A. High lipid levels B. Blood glucose of 60 C. Platelets over 150,000 D. Low INR

Correct Answer is A

Explanation

Choice A reason: This is correct because high lipid levels, such as cholesterol and triglycerides, are a risk factor for cardiovascular disease. HMG-CoA reductase inhibitors, also known as statins, lower the production of cholesterol in the liver and reduce the risk of heart attack and stroke.

Choice B reason: This is incorrect because blood glucose of 60 is not related to the need for an HMG-CoA reductase inhibitor. Blood glucose of 60 is below the normal range and may indicate hypoglycemia, which is a low blood sugar level. Hypoglycemia can cause symptoms such as dizziness, confusion, sweating, and hunger.

Choice C reason: This is incorrect because platelets over 150,000 are not related to the need for an HMG-CoA reductase inhibitor. Platelets are blood cells that help with clotting and prevent bleeding. The normal range of platelets is 150,000 to 450,000 per microliter of blood. Platelets over 150,000 are within the normal range and do not indicate a problem.

Choice D reason: This is incorrect because low INR is not related to the need for an HMG-CoA reductase inhibitor. INR stands for international normalized ratio and is a measure of how long it takes the blood to clot. The normal range of INR is 0.8 to 1.2. Low INR means the blood clots faster than normal and may indicate a risk of thrombosis, which is a blood clot in a vein or artery.

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A patient taking somatropin growth hormone needs to be educated on signs and symptoms of hyperglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What patient education should be given to a client going home with a new prescription for the potassium-sparing diuretic spironolactone?

Correct Answer is D

Explanation

What labs would indicate a client may need a prescription for an HMG-CoA reductase inhibitor, such as atorvastatin?

Correct Answer is A

Explanation

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