A client with diabetes mellitus visits a health care clinic. The client's diabetes previously had been well controlled with glyburide (Diabeta), 5 mg PO daily, but recently, the fasting blood glucose has been running 180-200 mg/dl. Which medication, if added to the clients regimen, may have contributed to the hyperglycemia?

phenelzine (Nardil)

allopurinol (Zyloprim)

Metoprolol (Lopressor)

Methylprednisolone (Medrol pack)

Answer and Explanation

The Correct Answer is D

Choice A rationale: Phenelzine is an antidepressant that typically does not affect blood glucose levels significantly.

Choice B rationale: Allopurinol, used for gout, is not known to significantly impact blood glucose levels.

Choice C rationale: Metoprolol, a beta-blocker, might mask some symptoms of hypoglycemia but is not typically associated with causing hyperglycemia.

Choice D rationale: Methylprednisolone, a corticosteroid, can elevate blood glucose levels and might contribute to hyperglycemia in a person with diabetes mellitus.

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Correct Answer is B

Explanation

Choice A rationale: Used primarily for gout and familial Mediterranean fever, not for Paget's disease.

Choice B rationale: Alendronate is a bisphosphonate commonly used to manage Paget's disease by slowing down bone breakdown and reducing the risk of complications.

Choice C rationale: Prednisone is a corticosteroid used for various inflammatory conditions but not typically prescribed for Paget's disease.

Choice D rationale: Used to lower uric acid levels and prevent gout attacks, not a primary medication for Paget's disease.

A. Peau d'orange B. Skin ulceration C. Nipple retraction D. Nontender axillary nodes E. Mobile mass at 2 o'clock F. Dense breast tissue

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

Explanation

Choice A rationale: This is a condition where the skin of the breast becomes dimpled and resembles an orange peel. It is caused by blockage of the lymphatic vessels by cancer cells or inflammation.

Choice B rationale: This is a condition where the skin of the breast breaks down and forms an open sore. It can be a sign of advanced or inflammatory breast cancer.

Choice C rationale: This is a condition where the nipple becomes inverted or pulled inward. It can be caused by scarring, infection, or cancer in the breast tissue or ducts.

Choice D rationale: These are lymph nodes in the armpit that are enlarged and hard but not painful. They can be a sign of cancer spreading from the breast to the lymphatic system.

Choice E rationale: This is a lump in the breast that can be felt and moved around. It is located at the upper outer quadrant of the right breast, as if looking at a clock face. It can be benign or malignant, depending on its size, shape, consistency, and borders.

Choice F rationale: Dense breast tissue is not an abnormal finding that indicates possible breast cancer. It is a normal variation that makes it harder to detect lumps or

abnormalities on mammograms. Women with dense breasts may need additional screening tests such as ultrasound or MRI.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?

Correct Answer is B

Explanation

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)

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

Explanation

Which is the most common complication expected in clients with type 1 diabetes Mellitus?

The nurse cares for a client with diabetes mellitus and congestive heart failure. Exhibits Which two (2) client findings in the history and physical are most concerning? Select all that apply

A 16-year-old male presents to the emergency department with right knee pain. Exhibits Complete the statement below: The client is at risk for and the nurse should ?

A client diagnosed with hypothyroidism has been taking the thyroid hormone levothyroxine for three months. Which client statement could indicate the client is receiving too much dose of the medication?

The home health nurse visits a client with chronic diabetes insipidus: Exhibits Which three (4) client statements would indicate a correct understanding of the teaching?

While assessing a male client, a nurse observes that the client has a small penis, long legs, short trunk, enlarged breast tissues, small testicles, and sexual dysfunction. What diagnosis does the nurse suspect from these findings?

The nurse assesses a client with damage to cranial nerve III. Which finding would be expected?