The nurse is preparing a client who has diabetes mellitus, type 2 for an abdominal CT scan with contrast. Which of the following prescribed medications, taken by the client, should be reported to the health care provider immediately?

warfarin (Coumadin)

pantoprazole (Protonix)

metformin (Glucophage)

fluoxetine (Prozac)

Answer and Explanation

The Correct Answer is C

A. While warfarin is an anticoagulant, it is not contraindicated with contrast imaging. However, the nurse should monitor for bleeding and report any abnormal findings, but this medication is not a priority to report immediately in the context of a CT scan.
B. Pantoprazole is a proton pump inhibitor used to treat acid reflux, and it does not pose any specific concerns regarding the administration of contrast for an abdominal CT scan.
C. Metformin should be reported immediately. It is contraindicated in clients undergoing contrast procedures because it can increase the risk of lactic acidosis, particularly in those with renal impairment. Metformin should generally be withheld 48 hours before and after receiving contrast material to avoid this risk.
D. Fluoxetine is an antidepressant (SSRI) and does not have a direct interaction with the contrast medium used in CT scans. It is not a priority to report in this situation.

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Correct Answer is ["A","C","D","F"]

Explanation

A. A quiet, dark environment is often helpful for clients with headaches, especially migraines. Bright lights and loud noises can exacerbate symptoms, so minimizing environmental stimuli can help the client rest and reduce discomfort.
B. Heat is typically not recommended for migraine headaches, as it can sometimes worsen the pain. For migraines, cold compresses or ice packs on the forehead may provide more relief. Heat is generally more effective for tension headaches or muscle-related pain.
C. Analgesics such as over-the-counter pain relievers (e.g., acetaminophen, ibuprofen) or prescribed medications can help manage headache pain and are often part of the treatment plan for headaches.
D. A gentle massage can help relieve the muscle tension that often contributes to tension headaches. Massaging the neck, shoulders, and scalp may help reduce headache symptoms.
E. Keeping the head of the bed flat is not generally recommended for headache relief. In fact, elevating the head of the bed slightly may help relieve pressure and improve comfort, especially in cases of sinus headaches or headaches related to congestion.
F. Many clients with headaches, especially migraines, may experience nausea or vomiting. Administering prescribed antiemetic medications can help alleviate these symptoms and improve the client’s comfort.

A. "I will use the first drop of blood for my sample" B. "I will poke in the center of the pad of my finger to obtain a sample for testing" C. "I will apply a cold compress on my fingers if I cannot collect any blood" D. "I will make sure I have clean hands prior to testing"

Correct Answer is D

Explanation

A. It is generally recommended to discard the first drop of blood when testing with a glucometer because it may be diluted with tissue fluid, leading to inaccurate results. The second drop should be used for the sample.
B. The center of the fingertip should be avoided for testing because it contains more nerve endings and can be more painful. It is better to poke the sides of the fingertip for a less painful experience.
C. A cold compress may cause blood vessels to constrict, making it even harder to obtain a blood sample. Gentle massaging of the finger or warming the hands may help with blood flow.
D. It is important to wash hands before testing to ensure that the blood sample is not contaminated with food residues, dirt, or other substances that could affect the accuracy of the glucose reading.

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The nurse is preparing a client who has diabetes mellitus, type 2 for an abdominal CT scan with contrast. Which of the following prescribed medications, taken by the client, should be reported to the health care provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client experiencing headaches. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

Correct Answer is ["A","C","D","F"]

Explanation

The nurse is educating a newly diagnosed diabetic client about how to measure blood glucose with a glucometer at home. Which statement, made by the client, indicates teaching was effective?

Correct Answer is D

Explanation

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?

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