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 A

Explanation

Choice A rationale: An allergy to sulfa drugs is important as some diabetes medications, like sulfonylureas, contain components related to sulfa drugs, which could cause an allergic reaction in susceptible individuals.

Choice B rationale: Smoking cessation and lifestyle history are important but might not directly impact initial diabetes treatment options.

Choice C rationale: Numbness in the soles of the feet might indicate neuropathy, a common complication of diabetes, but is not directly related to the choice of initial treatment.

Choice D rationale: While obesity is a risk factor for Type 2 diabetes, it's less critical for immediate treatment decisions compared to drug allergies that could impact medication choices.

A. History of mild flu symptoms last week. B. Dark-colored coffee-ground emesis. C. Pain radiating to the right upper quadrant. D. Dark, scanty urine output.

Correct Answer is D

Explanation

Choice A rationale: This is not relevant to the current condition of the patient and does not support a diagnosis of renal calculi.

Choice B rationale: This is a sign of upper gastrointestinal bleeding, which can have many causes such as peptic ulcer, gastritis or esophageal varices. It is not related to renal calculi or urinary tract problems.

Choice C rationale: Renal calculi usually causes pain which usually radiates anteriorly to the lower abdomen, groin, labia, testicles or the perineum depending on the location of the stone.

Choice D rationale: This is a sign of hematuria, which is blood in the urine caused by the passage of renal calculi (kidney stones) through the urinary tract. Hematuria can also cause the urine to appear dark or brown in color.

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Naxlex Comprehensive Predictor Exams

The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective information is most important for the nurse to note?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

The nurse is teaching a client with Parkinson's disease about dietary considerations. The nurse understands that this client is at highest risk for:

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 nurse observes a novice nurse caring for a client experiencing status epilepticus. It will require immediate intervention if the novice nurse does which of the following?

ADH release from the posterior pituitary is stimulated by which process?

The nurse is caring for a 44-year-old male with abdominal pain and persistent nausea/vomiting Exhibits here What condition the client is most likely experiencing?

A 49-year-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?