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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. anticholinergics act on the parasympathetic nervous system to produce pupillary dilatation for proper visualization
B. Tear production is a cholinergic effect
C. Intraocular fluid production is an adrenergic effect
D. Pupillary constriction is a cholinergic effect
Correct Answer is C
Explanation
Rationale-blowing the nose clears any mucus plugs allowing for optimal absorption
A. Lying on the side post application may lead to spillage of the applied drop
B. Holding the dropper too far leads to spillage with too little medication getting to the desired area
D. Tilting the head too long may lead to unnecessary irritation
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