The nurse has provided education to a patient with diabetes who is starting on insulin injections.

The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

“I will call my doctor right away.”.

“I will rest until the symptoms pass.”.

“I will take an oral form of glucose.”.

“I will give myself the regular insulin.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While it’s important to keep your doctor informed about your blood glucose levels, a single reading of 57 mg/dL may not require immediate medical attention. However, if hypoglycemia symptoms persist or the patient has repeated episodes of low blood sugar, they should contact their healthcare provider.
Choice B rationale
Resting until the symptoms pass is not an appropriate response to hypoglycemia. Without treatment, hypoglycemia can lead to serious complications, including loss of consciousness or seizures.
Choice C rationale
Taking an oral form of glucose is the correct response when experiencing hypoglycemia. This could be in the form of glucose tablets, juice, or other fast-acting carbohydrates.
Choice D rationale
Giving oneself regular insulin when blood glucose is low could further lower blood glucose levels and worsen hypoglycemia.

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Correct Answer is A

Explanation

Choice A rationale
Misoprostol is a medication that can help protect the stomach lining and reduce the risk of gastric irritation and ulcers caused by NSAIDs.
Choice B rationale
Ranitidine is a type of antacid that can help reduce stomach acid and relieve symptoms of heartburn, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice C rationale
Sucralfate is a medication that can help treat and prevent ulcers in the stomach and intestines, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice D rationale
Esomeprazole is a proton pump inhibitor that can reduce stomach acid and relieve symptoms of gastroesophageal reflux disease (GERD), but it does not specifically protect the stomach lining from the effects of NSAIDs. Prednisone Prednisone Explore

A. T3 and T4 B. White blood cell count C. Hemoglobin and Hematocrit D. Platelet count

Correct Answer is B

Explanation

Choice A rationale
T3 and T4 are thyroid hormones. While it’s important to monitor these levels in a patient on propylthiouracil therapy, they are not the most concerning lab value.
Choice B rationale
The white blood cell count should be the nurse’s primary concern. Propylthiouracil can cause agranulocytosis, a serious condition characterized by a decrease in the number of white blood cells, which can lead to infection.
Choice C rationale
Hemoglobin and hematocrit levels are important to monitor, but they are not the most concerning lab value in this context.
Choice D rationale
While it’s important to monitor platelet count in a patient on propylthiouracil therapy, it’s not the most concerning lab value.

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The nurse has provided education to a patient with diabetes who is starting on insulin injections. The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with rheumatoid arthritis who is on high doses of nonsteroidal anti-inflammatory drugs (NSAIDs) for joint pain relief. The patient expresses concerns about gastric irritation. What medication could the nurse suggest to the physician to alleviate gastric irritation?

Correct Answer is A

Explanation

A patient started propylthiouracil therapy a month ago and is here for a follow-up lab test (results shown below). Which lab value should the nurse be most concerned about?

Correct Answer is B

Explanation

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The nurse has provided education to a patient with diabetes who is starting on insulin injections.

The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?