The nurse is caring for a client whose blood pressure is 200/110, heart rate is 160, respiratory rate is 24 and temperature is 102°F. Which of the following medications should the nurse administer first?

dextrose

acetaminophen (Tylenol)

propranolol (Inderal)

potassium iodide (SSKI)

Answer and Explanation

The Correct Answer is C

A. Dextrose is used to treat hypoglycemia (low blood sugar), and there is no indication from the vital signs provided that the client is hypoglycemic.
B. Acetaminophen is an antipyretic (fever reducer), but the priority is not to treat the fever immediately in this case. The client's blood pressure and heart rate need to be addressed first.
C. Propranolol is a beta-blocker that can help reduce both heart rate and blood pressure. The client has severe hypertension (200/110) and tachycardia (heart rate of 160), which may indicate a hypertensive crisis or severe adrenergic overactivity. Propranolol can help lower the heart rate and blood pressure quickly, which is crucial to avoid further cardiovascular complications.
D. Potassium iodide is used in cases of thyroid storm or exposure to radioactive iodine. It is not appropriate for this situation, as the symptoms do not indicate a thyroid emergency or radiation exposure.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Atorvastatin is commonly prescribed to manage high cholesterol and does not typically pose a direct risk when taken with oral antidiabetic drugs or insulin. In fact, managing cholesterol is important for patients with diabetes to reduce the risk of cardiovascular complications.
B. Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) used to treat depression and anxiety. It does not have significant interactions with antidiabetic medications or insulin, although it should be used with caution in patients with certain conditions, like a history of serotonin syndrome.
C. Prednisone is a corticosteroid that can raise blood glucose levels, which can be problematic for patients with diabetes. It may increase insulin resistance and cause hyperglycemia, potentially making it more difficult to control blood sugar in patients taking oral antidiabetic drugs and insulin.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) and, although it can affect kidney function, it does not have a direct impact on blood sugar levels when used in the short term. It may be used cautiously in diabetic patients, particularly if they have kidney problems, but it is not a major concern in this case.

A. Your pancreas is not secreting enough insulin to help regulate your blood sugar level. B. Your pancreas is not breaking down glycogen that leads to increased blood sugar level. C. Your liver is secreting too much glucagon and that leads to increased blood sugar level. D. Your liver is absorbing too much insulin that is why it cannot be used by the blood.

Correct Answer is A

Explanation

A. In type 1 diabetes, the pancreas either does not produce any insulin or produces very little insulin. Insulin is necessary to help regulate blood sugar levels by allowing glucose to enter cells. In type 2 diabetes, the body may not respond to insulin effectively (insulin resistance), or the pancreas may not produce enough insulin to meet the body's needs. Either way, insulin production or function is impaired, leading to elevated blood sugar levels.
B. The pancreas does not break down glycogen. Instead, the liver breaks down glycogen into glucose when blood sugar is low. The pancreas's role in diabetes is primarily related to insulin production or secretion, not the breakdown of glycogen.
C. Glucagon is a hormone produced by the pancreas that signals the liver to release glucose when blood sugar is low. In diabetes, the issue is typically with insulin production or the body’s response to insulin, not an overproduction of glucagon.
D. This statement is confusing. The liver does not absorb insulin. In type 2 diabetes, the problem is typically insulin resistance, meaning the body’s cells, including those in the liver, do not respond properly to insulin. In type 1 diabetes, the issue is a lack of insulin production.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client whose blood pressure is 200/110, heart rate is 160, respiratory rate is 24 and temperature is 102°F. Which of the following medications should the nurse administer first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing reconciliation of a client's medications prior to discharge and the list includes an oral antidiabetic drug and glargine [Lantus] insulin. Which of the following new prescriptions causes the nurse concern?

Correct Answer is C

Explanation

The nurse is caring for a client newly diagnosed with diabetes mellitus who states, "I do not understand why I have diabetes when I try not to eat a lot of sugar." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

The nurse is preparing to administer prescribed saturated solution of potassium iodide (SSKI). Which of the following actions should the nurse take?

The nurse has taught a client with hypothyroidism about thyroid replacement therapy. Which of the following statements by the client would indicate the need for more teaching?

The nurse caring for a client with diabetes, type 2 who has a blood sugar level of 289 mg/dL noted an increase in urine output. Which of the following findings should the nurse expect?

The nurse is reviewing the hemoglobin A1C (HgbA1C) results that showed 6.9% with a client who has diabetes mellitus. The client asked the nurse what the result means. Which of the following statements by the nurse is correct?

The nurse is administering prescribed gabapentin (Neurontin) 1,800 mg, PO, daily, divided into 3 doses. The medication is supplied in 300 mg capsules. How many capsules should the nurse administer for 1 dose? Do not round your answer. Enter numeric value only.

The nurse is reviewing the medication list with a client with hypothyroidism who is prescribed levothyroxine (Synthroid). The nurse should notify the health care provider if the client reported taking which of the following medications?

The nurse is administering prescribed levothyroxine to a client on the medical unit. How should this medication be given for best absorption?

The nurse is assisting a patient with Type 2 diabetes to choose foods for the next day's meals. Which of the following food choices would have the highest glycemic index?