A client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease.Which intervention should the nurse discuss with the client?

Monitoring blood glucose levels more frequently.

Increasing sodium intake.

Stopping all other diabetes medications.

Skipping meals to prevent hyperglycemia.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Monitoring blood glucose levels more frequently is critical when a client with type 1 diabetes is taking prednisone, as corticosteroids can raise blood glucose levels and potentially cause hyperglycemia.

Choice B rationale

Increasing sodium intake is not recommended for clients with type 1 diabetes and is unrelated to the management of prednisone-induced hyperglycemia.

Choice C rationale

Stopping all other diabetes medications is inappropriate and can lead to uncontrolled blood glucose levels. Adjustments may be needed, but discontinuation is not advised without medical supervision.

Choice D rationale

Skipping meals to prevent hyperglycemia is not a safe practice for clients with type 1 diabetes. Maintaining a balanced diet and monitoring blood glucose levels is essential.

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Correct Answer is A

Explanation

Choice A rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI) due to referred pain from the heart.

Choice B rationale

Shortness of breath can also be associated with MI but is not as specific as radiating pain to the left arm.

Choice C rationale

Headache is not a typical symptom of an MI. It is more commonly associated with other conditions.

Choice D rationale

Nausea and vomiting can occur with an MI but are not as specific as radiating pain to the left arm.

A. Administer a laxative to cleanse the bowel before the CT scan. B. Administer the biguanide medication as scheduled. C. Advise the client to fast for 24 hours before the CT scan. D. Ensure the client is adequately hydrated before the CT scan.

Correct Answer is D

Explanation

Choice A rationale

Administering a laxative is not necessary for a CT scan of the abdomen with contrast. Laxatives are typically used for bowel preparation for procedures like colonoscopies.

Choice B rationale

Biguanide medications such as metformin should be held before and after the administration of contrast medium to prevent lactic acidosis, particularly in clients with liver disease.

Choice C rationale

Fasting for 24 hours is not required before a CT scan with contrast medium. Typically, clients are asked to fast for a few hours prior to the procedure.

Choice D rationale

Ensuring the client is adequately hydrated helps to protect kidney function and reduce the risk of contrast-induced nephropathy. Hydration is especially important for clients with a history of liver disease.

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A client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease.Which intervention should the nurse discuss with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Correct Answer is A

Explanation

A client diagnosed with type II diabetes controlled with a biguanide medication and a history of liver disease is scheduled for a computed tomography (CT) scan with contrast medium of the abdomen to evaluate pancreatic function.Which intervention should the nurse implement?

Correct Answer is D

Explanation

After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?

To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? Select all that apply.

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