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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Anorexia is not typically related to fluid intake in clients with hypothyroidism. In fact, some people with hypothyroidism may experience weight gain and have increased appetite rather than anorexia.
B. Cold intolerance is a common symptom of hypothyroidism due to a reduced metabolic rate, but it is not directly related to fluid intake. Increasing fluids would not directly alleviate cold intolerance.
C. One of the common symptoms of hypothyroidism is constipation, which occurs due to slowed gastrointestinal motility. Increasing fluid intake helps to soften stool and promote regular bowel movements, thus preventing constipation.
D. Hypothyroidism typically results in a lower oxygen demand because of a decreased metabolic rate. Fluid intake does not have a direct impact on oxygen demand.

A. Place the client in the recovery position if possible. B. Document the start and stop time of the seizure C. Hold arms at the client's side to prevent thrashing or injury. D. Remove any dangerous objects near the client. E. Assist the client to the floor.

Correct Answer is ["A","B","D","E"]

Explanation

A. Place the client in the recovery position if possible. If the client is not actively seizing, placing them in the recovery position (on their side) can help prevent aspiration and allow for better airway management after the seizure ends. However, during the seizure, ensure their safety first.
B. Document the start and stop time of the seizure. It is important to document the timing of the seizure to help assess its duration and determine the appropriate interventions. This also helps guide treatment decisions post-seizure.
C. Hold arms at the client's side to prevent thrashing or injury. The nurse should not restrain the client during a seizure. Trying to hold the client’s arms or restrict their movements can cause injury. The goal is to ensure safety and prevent injury, but not to restrain them.
D. Remove any dangerous objects near the client. Clearing the area of any hard or sharp objects can prevent injury to the client during the seizure.
E. Assist the client to the floor. If the client is standing or sitting during the onset of the seizure, assist them to the floor gently to prevent injury from falling. Ensure that the area is clear of hazards.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with hypothyroidism the importance of increasing fluids. The nurse should explain that increasing fluids is important to prevent which of the following problems?

Correct Answer is C

Explanation

The nurse is caring for a client who is having an active seizure. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

The nurse is planning care for an older adult client with advanced Parkinson's disease. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

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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 administering prescribed medication to a client experiencing status epilepticus. Which of the following medications should the nurse question?

The nurse is obtaining a medical history from a client scheduled for a thyroid diagnostic test. Which of the following findings may affect the results?