The nurse suspects the client diagnosed with diabetes may be having a hypoglycemic reaction when what symptom is assessed?

unpredictable behaviors

diaphoresis

flushing of the face

fruity breath

Answer and Explanation

The Correct Answer is B

A. unpredictable behaviors: While altered behavior or confusion can occur with hypoglycemia, these are often later symptoms. Diaphoresis is typically one of the earliest and most noticeable signs, helping prompt faster recognition and intervention.

B. diaphoresis: Diaphoresis, or excessive sweating, is a classic sympathetic nervous system response to hypoglycemia. It is an early warning sign that glucose levels are dropping and immediate treatment is needed to prevent further deterioration.

C. flushing of the face: Flushed skin is more commonly associated with hyperglycemia or hormonal responses rather than hypoglycemia. It does not serve as a reliable indicator of low blood glucose levels in diabetic clients.

D. fruity breath: Fruity or acetone-like breath is a hallmark sign of diabetic ketoacidosis, which occurs in hyperglycemia, not hypoglycemia. It results from the breakdown of fat and ketone accumulation in the blood.

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Correct Answer is A

Explanation

A. "Are you experiencing diarrhea?": Long-term use of proton pump inhibitors (PPIs) is associated with an increased risk of Clostridium difficile–associated diarrhea. PPIs reduce stomach acid, which can alter gut flora and lower the body's defense against infections.

B. "Do you ever experience flank pain?": Flank pain may suggest kidney issues, but PPIs are not primarily linked to nephrolithiasis. Though there is a possible association with chronic kidney disease, flank pain is not a routine symptom assessed in long-term PPI users.

C. "Have you noticed any blood in your urine?": Hematuria is not a known common side effect of long-term PPI use. This symptom may suggest urinary tract or renal pathology, but it is not a priority assessment in the context of prolonged acid suppression therapy.

D. "When is the last time you checked your blood pressure?": PPIs do not significantly affect blood pressure regulation. While blood pressure monitoring is important in general assessments, it is not specifically related to long-term PPI use.

A. PPIs can not be crushed. B. Famotidine is a common proton pump inhibitor C. Given to treat gastric ulcers D. You can take PPIs daily indefinitely E. PPIs have numerous adverse effects

Correct Answer is ["A","C","E"]

Explanation

A. PPIs cannot be crushed: Proton pump inhibitors are often enteric-coated to prevent degradation by stomach acid and ensure proper absorption in the small intestine. Crushing them disrupts this protective coating, reducing effectiveness and possibly leading to gastrointestinal irritation.

B. Famotidine is a common proton pump inhibitor: Famotidine is not a PPI but an H2-receptor antagonist. While both drug classes reduce gastric acid secretion, they work via different mechanisms and are not interchangeable in classification or pharmacological action.

C. Given to treat gastric ulcers: PPIs are commonly prescribed for gastric ulcers due to their potent acid suppression, which promotes mucosal healing. By inhibiting the H+/K+ ATPase enzyme in gastric parietal cells, they effectively reduce acid levels and facilitate ulcer recovery.

D. You can take PPIs daily indefinitely: Long-term daily use of PPIs is not recommended due to risks such as nutrient malabsorption, bone fractures, and increased susceptibility to infections like C. difficile. They should be used for the shortest effective duration, with regular reassessment.

E. PPIs have numerous adverse effects: Adverse effects associated with PPIs include headaches, diarrhea, vitamin B12 deficiency, hypomagnesemia, and increased risk of osteoporosis-related fractures.

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The nurse suspects the client diagnosed with diabetes may be having a hypoglycemic reaction when what symptom is assessed?

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Naxlex Comprehensive Predictor Exams

The nurse admits a client who reports taken a proton pump inhibitor for more than a decade. What question will the nurse ask this client?

Correct Answer is A

Explanation

The following statements are true regarding proton pump inhibitors. Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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