When caring for a female client with a history of hypoglycemia, nurse Ruby should avoid administering a drug that may potentiate hypoglycemia. Which drug fits this description? A. sulfisoxazole (Gantrisin) B. mexiletine (Mexitil) C. prednisone (Orasone) D. lithium carbonate (Lithobid) Correct Answer: A. sulfisoxazole (Gantrisin) Sulfisoxazole and… Read More »
Which instruction about insulin administration should nurse Kate give to a client? A. “Always follow the same order when drawing the different insulins into the syringe.” B. “Shake the vials before withdrawing the insulin.” C. “Store unopened vials of insulin in the freezer at temperatures well below freezing.” D. “Discard the… Read More »
After taking glipizide (Glucotrol) for 9 months, a male client experiences secondary failure. Which of the following would the nurse expect the physician to do? A. Initiate insulin therapy. B. Switch the client to a different oral antidiabetic agent. C. Prescribe an additional oral antidiabetic agent. D. Restrict carbohydrate intake to… Read More »
Nurse Perry is caring for a female client with type 1 diabetes mellitus who exhibits confusion, light-headedness, and aberrant behavior. The client is still conscious. The nurse should first administer: A. I.M. or subcutaneous glucagon. B. I.V. bolus of dextrose 50%. C. 15 to 20 g of a fast-acting carbohydrate such as… Read More »
During preoperative teaching for a female client who will undergo subtotal thyroidectomy, the nurse should include which statement? A. “The head of your bed must remain flat for 24 hours after surgery.” B. “You should avoid deep breathing and coughing after surgery.” C. “You won’t be able to swallow for the first… Read More »
For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek’s sign and Trousseau’s sign because they indicate which of the following? A. Hypocalcemia B. Hypercalcemia C. Hypokalemia D. Hyperkalemia Correct Answer: A. Hypocalcemia The client who has undergone a thyroidectomy… Read More »
Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus. During the assessment interview, the client reports that he’s impotent and says he’s concerned about its effect on his marriage. In planning this client’s care, the most appropriate intervention would be to: A. Encourage the client to ask questions… Read More »
Nurse Wayne is aware that a positive Chvostek’s sign indicates? A. Hypocalcemia B. Hyponatremia C. Hypokalemia D. Hypermagnesemia Correct Answer: A. Hypocalcemia Chvostek’s sign is elicited by tapping the client’s face lightly over the facial nerve, just below the temple. If the client’s facial muscles twitch, it… Read More »
During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise. The nurse educator advises the clients to exercise how often to meet the goals of planned exercise? A. At least once a week B. At least three times a week C. At least… Read More »
In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would expect a decline in: A. Serum glucose level B. Hair loss C. Bone mineralization D. Menstrual flow Correct Answer: A. Serum glucose level Hyperglycemia, which develops from glucocorticoid excess, is a… Read More »