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?

Choice A rationale: Intubation and mechanical ventilation may be needed if the respiratory muscles are affected by GBS, but this is not a routine intervention at this stage.

Choice B rationale: One of the main treatments of GBS is IV immunoglobulin therapy (IVIG), which involves infusing antibodies from donated blood plasma to block the harmful immune response that damages the nerves. Sandoglobulin is one of the brand names of IVIG used for GBS. IVIG can help shorten the duration and severity of the disease, and improve the recovery rate.

Choice C rationale: Methylprednisolone is a corticosteroid that can reduce inflammation, but it is not recommended for GBS, as it may worsen the condition or increase the risk of infection.

Choice D rationale: NG feeding tube may be required if the patient has difficulty swallowing, but this is also not a standard intervention at this time.

Choice A rationale: Adenomas are benign tumors that originate from glandular tissue, such as the endometrium, the inner lining of the uterus.

Choice B rationale: Leiomyomas, also known as fibroids, are benign tumors that arise from the smooth muscle cells of the myometrium, the middle layer of the uterine wall. They are the most common type of uterine tumors, affecting up to 80% of women by age 50. They can cause symptoms such as heavy menstrual bleeding, pelvic pain, pressure, and infertility.

Choice C rationale: Endometriosis is a condition where endometrial tissue grows outside the uterus, causing inflammation and pain.

Choice D rationale: Adenomyosis is a condition where endometrial tissue invades the myometrium, causing enlargement and distortion of the uterus.