A client with a history of chronic obstructive pulmonary disease (CORD) and type 2 diabetes has been treated for pneumonia for the past week. The client has been receiving intravenous corticosteroids as well as antibiotics as part of his therapy. At this time, the pneumonia has resolved, but when monitoring the blood glucose levels, the nurse notices that the level is still elevated.

What is the best explanation for this elevation?

The hypoxia caused by the COPD causes an increased need for insulin.

The corticosteroids may cause an increase in glucose levels.

The antibiotics may cause an increase in glucose levels.

His type 2 diabetes has converted to type 1.

Answer and Explanation

The Correct Answer is B

B. corticosteroid has a counter regulatory hormone effect in glucose control
A. Hypoxia does not increase insulin need
C. Antibiotics do not increase blood glucose
D. Type 2 diabetes cannot convert to type 1

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Correct Answer is C

Explanation

aminoglycosides and loop diuretics are ototoxic. This risk increases to an even higher level when the two drugs are used together. Therefore, their use together should be avoided.

Other drugs have no significant interactions with aminoglycosides

A. Mouthwashes and cough medicines that contain alcohol are safe because they are used in small amounts. B. This drug will cause the same effects as the alcohol did, without the euphoric effects. C. This drug is safe to take with warfarin. D. He needs to know about the common over-the-counter substances that contain alcohol.

Correct Answer is D

Explanation

Disulfiram blocks the metabolism of alcohol leading to unpleasant effects such as flushing, apprehension, headache, nausea and vomiting
A. Alcohol containing substances will cause the unpleasant effect when consumed
B. Disulfiram prevent metabolism of alcohol and hence has no similar effects to alcohol
C. When taken with warfarin, it increases the risk of bleeding

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the medication orders for a client who will be receiving aminoglycoside therapy. Which other medication or medication class, if ordered, would be a potential interaction concern?

Correct Answer is C

Explanation

A client is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram therapy?

Correct Answer is D

Explanation

Before administering any medication, what is the nurse's priority action regarding client safety?

A client who has a history of myocardial infarction (Ml) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medications?

The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?

A client who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this client to look for which therapeutic effect?

The nurse is providing counseling to a woman who is HIV positive and has just discovered that she is pregnant. Which anti-HIV drug is given to HIV-infected pregnant women to prevent transmission of the virus to the infant?

The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?