A client with type 2 diabetes mellitus who takes glimepiride PO daily calls the nurse to report a recent onset of nausea, vomiting, and diarrhea. Which response should the nurse provide?

Use insulin sliding scale until symptoms are resolved.

Return to the clinic for laboratory tests for an infection.

Schedule a visit for evaluation by the healthcare provider (HCP).

Increase oral fluid intake until these symptoms subside.

Answer and Explanation

The Correct Answer is C

A. Use insulin sliding scale until symptoms are resolved: Starting insulin without an evaluation would be inappropriate. A sliding scale may eventually be needed if blood sugars fluctuate, but the priority is to assess the cause of the gastrointestinal symptoms first.

B. Return to the clinic for laboratory tests for an infection: Although an infection could be a cause, nausea, vomiting, and diarrhea in a diabetic client also raise concern for possible medication issues, dehydration, or even metabolic disturbances. Immediate evaluation is necessary before simply ordering lab tests.

C. Schedule a visit for evaluation by the healthcare provider (HCP): New gastrointestinal symptoms could indicate a significant underlying issue such as medication intolerance, dehydration, or even diabetic ketoacidosis (though less common in type 2). An urgent clinical assessment by the HCP is most appropriate.

D. Increase oral fluid intake until these symptoms subside: While staying hydrated is important, advising fluids alone without a thorough assessment risks missing a serious underlying cause. Symptom management should not replace a proper medical evaluation.

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Free Nursing Study Resources

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

Explanation

A. Describe how anabolic steroids increase muscle strength to improve athletic performance: While anabolic steroids do enhance muscle mass and strength, emphasizing this could inadvertently normalize or encourage their misuse rather than addressing the serious health risks involved.

B. Advise of the need to observe for changes in behavior, such as increased aggression: Anabolic steroids can cause mood disturbances, including aggression, irritability, and even psychiatric symptoms. Educating the parent to monitor for behavioral changes is critical for early intervention.

C. Explain that this is a schedule II controlled substance: Anabolic steroids are actually classified as Schedule III controlled substances under the Controlled Substances Act, not Schedule II. Providing inaccurate information could lead to confusion and mismanagement of the situation.

D. Encourage a clinic visit to assess the adolescent for cardiovascular complications: Steroid use can increase the risk of serious cardiovascular problems like hypertension, lipid abnormalities, and myocardial damage. Prompt medical evaluation is essential to detect early complications.

E. Identify the use of any other herbal supplements: Adolescents who misuse anabolic steroids may also be using other supplements or substances that could have dangerous interactions. A full assessment of all substances being used is important for comprehensive care and counseling.

A. Statins, such as atorvastatin. B. Analgesics, such as acetaminophen. C. Anticoagulants, such as warfarin. D. Nitrates, such as nitroglycerin.

Correct Answer is D

Explanation

A. Statins, such as atorvastatin: Statins primarily lower cholesterol and have no significant interaction with sildenafil that would cause an urgent safety concern. Although monitoring for muscle-related side effects is important with statins, it is not the priority here.

B. Analgesics, such as acetaminophen: Acetaminophen is generally safe and does not interact dangerously with sildenafil. There is no immediate concern related to combining these two medications.

C. Anticoagulants, such as warfarin: There is a potential for increased bleeding risk when sildenafil is combined with anticoagulants, but this is generally not an acute, life-threatening interaction requiring immediate determination before other more critical concerns.

D. Nitrates, such as nitroglycerin: Taking sildenafil with nitrates can cause profound, life-threatening hypotension. Both sildenafil and nitrates can cause vasodilation, and their combined use can lead to a dangerous and potentially fatal drop in blood pressure. This combination is absolutely contraindicated, and the nurse must immediately assess whether the client uses any nitrate medication to prevent a serious adverse event.

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A client with type 2 diabetes mellitus who takes glimepiride PO daily calls the nurse to report a recent onset of nausea, vomiting, and diarrhea. Which response should the nurse provide?

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Naxlex Comprehensive Predictor Exams

The mother of an adolescent male tells the clinic nurse that she found anabolic steroids in her son's room. How should the nurse respond? Select all that apply.

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

Explanation

Correct Answer is D

Explanation

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