A patient with type 1 diabetes was prescribed a glucocorticoid for COPD. Which will the nurse expect in this patient?

No change in blood sugar

A decrease in the blood pressure

An increase in the blood sugar

An increase in the need for carbohydrates

Answer and Explanation

The Correct Answer is C

Choice A reason: Glucocorticoids can cause an increase in blood sugar by stimulating gluconeogenesis and inhibiting insulin action. Therefore, a patient with type 1 diabetes who is taking glucocorticoids will not have no change in blood sugar, but rather a rise in blood sugar.

Choice B reason: Glucocorticoids can cause an increase in blood pressure by promoting sodium and water retention and increasing vascular reactivity. Therefore, a patient with type 1 diabetes who is taking glucocorticoids will not have a decrease in the blood pressure, but rather a possible increase in the blood pressure.

Choice C reason: Glucocorticoids can cause an increase in blood sugar by stimulating gluconeogenesis and inhibiting insulin action. Therefore, a patient with type 1 diabetes who is taking glucocorticoids will have an increase in blood sugar. This is the correct statement that describes the expected effect of glucocorticoids in this patient.

Choice D reason: Glucocorticoids can cause an increase in blood sugar by stimulating gluconeogenesis and inhibiting insulin action. Therefore, a patient with type 1 diabetes who is taking glucocorticoids will not have an increase in the need for carbohydrates, but rather a need for more insulin to control the blood sugar.

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Correct Answer is D

Explanation

Choice A reason: Potassium is not restricted in the management of high blood pressure. In fact, potassium can help lower blood pressure by balancing the effects of sodium and relaxing the blood vessel walls.

Choice B reason: Magnesium is not restricted in the management of high blood pressure. Magnesium can also help lower blood pressure by regulating the calcium channels and improving the endothelial function.

Choice C reason: Calcium is not restricted in the management of high blood pressure. Calcium can also help lower blood pressure by inhibiting the renin-angiotensin system and reducing the vascular resistance.

Choice D reason: Sodium is restricted in the management of high blood pressure. Sodium can increase blood pressure by retaining water in the body and increasing the blood volume and pressure.

A. Baroreceptors are less active B. SNS is activated C. Person will be bradycardic D. SNS is suppressed

Correct Answer is B

Explanation

Choice A reason: This is not what will happen when a person is hypotensive. Baroreceptors are sensory receptors that detect changes in blood pressure. When a person is hypotensive, the baroreceptors are more active, not less, and they send signals to the brain to increase the blood pressure.

Choice B reason: This is what will happen when a person is hypotensive. SNS stands for sympathetic nervous system, which is the part of the autonomic nervous system that prepares the body for fight or flight response. When a person is hypotensive, the SNS is activated to increase the heart rate, contractility, and vasoconstriction, which all raise the blood pressure.

Choice C reason: This is not what will happen when a person is hypotensive. Person will be bradycardic means that the person will have a slow heart rate, usually below 60 beats per minute. When a person is hypotensive, the opposite will happen, as the heart rate will increase to compensate for the low blood pressure.

Choice D reason: This is not what will happen when a person is hypotensive. SNS is suppressed means that the sympathetic nervous system is inhibited or reduced in activity. When a person is hypotensive, the SNS is not suppressed, but rather stimulated, to increase the blood pressure.

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A patient with type 1 diabetes was prescribed a glucocorticoid for COPD. Which will the nurse expect in this patient?

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Naxlex Comprehensive Predictor Exams

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Explanation

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