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?
Atorvastatin (Lipitor) for hypercholesterolemia
Duloxetine (Cymbalta) for depression
Prednisone (Rayos) for COPD exacerbation
Ibuprofen (Motrin) for pain
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Foot care is crucial for individuals with diabetes due to the increased risk of neuropathy and poor circulation. Daily inspection for cuts, blisters, or other injuries is vital to prevent infections and complications, such as diabetic ulcers or amputations.
B. Heating pads should not be used by people with diabetes, as they may not be able to feel the heat due to diabetic neuropathy. This increases the risk of burns and injury. It is safer to use other methods for warming hands and feet, such as wearing socks or gloves.
C. People with diabetes are at an increased risk for infections, including pneumonia. The pneumonia vaccine (PPSV23 and/or PCV13) is recommended for individuals with diabetes to help reduce the risk of pneumonia. This statement is false.
D. People with diabetes should have regular eye examinations, but they should be scheduled annually, not every 5 years. Diabetes can lead to diabetic retinopathy, which can cause vision loss if not monitored and treated promptly. Annual eye exams are recommended to detect any changes early.
Correct Answer is ["872"]
Explanation
- 1 ounce (oz) ≈ 29.5735 milliliters (mL)
- 1 tablespoon (tbsp) ≈ 14.7868 milliliters (mL)
Now, let's convert each item:
- 8 ounces of milk = 8 oz * 29.5735 mL/oz = 236.588 mL
- 8 ounces of water = 8 oz * 29.5735 mL/oz = 236.588 mL
- 12 ounces of carbonated beverage = 12 oz * 29.5735 mL/oz = 354.882 mL
- 3 tablespoons of medication = 3 tbsp * 14.7868 mL/tbsp = 44.3604 mL
Finally, let's add up all the volumes to find the total fluid intake:
Total fluid intake = 236.588 mL + 236.588 mL + 354.882 mL + 44.3604 mL = 872.3984 mL
Rounded off to the nearest whole number = 872mL
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