A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?
The beta-blocker can mask the symptoms of hypoglycemia.
Using the two agents together increases the risk of ketoacidosis.
Propranolol increases insulin requirements because of receptor blocking.
The beta-blocker can cause insulin resistance.
The Correct Answer is B
A) While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.
B) Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.
C) Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.
D) Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.
B) Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.
C) Stopping calcium supplements may not be necessary, but proper timing is crucial.
D) Taking the medications together can reduce the absorption of both, so they should be spaced apart.
Correct Answer is B
Explanation
a) The symptoms described are indicative of hypoglycemia, and addressing the client's emotional state or offering to listen does not address the immediate medical issue.
b) Checking the blood glucose level is crucial to determine if the symptoms are due to hypoglycemia, and providing carbohydrates can help raise the blood sugar level promptly.
c) Assuming a panic attack without assessing the potential hypoglycemic state could delay appropriate intervention.
d) The symptoms described are not consistent with an allergic reaction, so giving diphenhydramine is not the appropriate response.
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