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For which client with severe migraine headaches would the nurse question an order for sumatriptan?

A 58-year-old client with gastrointestinal reflux disease

A 65-year-old client with mild emphysema

A 72-year-old client with hyperthyroidism

A 48-year-old client with hypertension

Answer and Explanation

The Correct Answer is D

Choice A rationale: Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.

Choice B rationale: Mild emphysema is not typically a contraindication for sumatriptan.

Choice C rationale: Hyperthyroidism is not typically a contraindication for sumatriptan.

Choice D rationale: Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.

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Correct Answer is C

Explanation

Choice A rationale: The patient with type 2 diabetes admitted with pneumonia might not necessarily need insulin therapy to prevent ketoacidosis.

Choice B rationale: Type 2 diabetes doesn't typically involve islet cell antibodies destroying the pancreas's ability to produce insulin.

Choice C rationale: In this scenario, the patient might have enough endogenous insulin to prevent ketosis but could be at risk for hyperosmolar hyperglycemic syndrome due to illness-induced stress.

Choice D rationale: Type 2 diabetes often involves some degree of endogenous insulin secretion, and not all patients require daily insulin injections.

A. Administer IV fluids rapidly to correct dehydration. B. Routine insulin therapy and exercise C. Cardiac monitoring to detect potassium changes D. Administer a different antibiotic for the UTI.

Correct Answer is A

Explanation

Choice A rationale: This patient is likely experiencing hyperosmolar hyperglycemic state (HHS). Rapid administration of IV fluids is crucial to correct severe dehydration associated with HHS.

Choice B rationale: Routine insulin therapy and exercise might be components of diabetes management but wouldn't directly address the immediate concern of severe dehydration and high blood glucose.

Choice C rationale: Cardiac monitoring for potassium changes might be necessary but isn't the primary immediate intervention for HHS.

Choice D rationale: Administering a different antibiotic for the UTI is incorrect, because there is no evidence that the current antibiotic is ineffective or causing adverse effects. The UTI may have triggered the HHS, but it is not the main problem that needs to be addressed urgently.

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For which client with severe migraine headaches would the nurse question an order for sumatriptan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?

The nurse is caring for a client with diabetic ketoacidosis (DKA) receiving intravenous (IV) regular insulin. The most recent potassium was 2.9 mEq/L. The nurse should take which priority action:

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