A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide.
The client reports feeling anxious and having profuse sweating.
Which of the following findings should the nurse expect?

Positive Chvostek's sign.

Pitting pedal edema.

Decreased deep-tendon reflexes.

Decreased blood glucose level.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

A Positive Chvostek’s sign is a clinical finding associated with hypocalcemia, or low levels of calcium in the blood. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice B rationale:

Pitting pedal edema occurs when excess fluid builds up in the body, causing swelling. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice C rationale:

Decreased deep-tendon reflexes or hyporeflexia happens when your skeletal muscles have a decreased or absent reflex response. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice D rationale:

Decreased blood glucose level or hypoglycemia occurs when your blood sugar (glucose) level falls too low. Glyburide is an oral diabetes medicine that helps control blood sugar levels. Anxiety and profuse sweating are symptoms of low blood sugar.

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Correct Answer is B

Explanation

Choice A rationale:

Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.

Choice B rationale:

Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.

Choice C rationale:

Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.

Choice D rationale:

Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.

A. Fish oil supplements. B. Calcium supplements. C. Bulk-forming laxatives. D. Oral antihistamines.

Correct Answer is B

Explanation

Choice A rationale:

Fish oil supplements do not have a known interaction with levothyroxine.

Choice B rationale:

Calcium supplements can interfere with the absorption of levothyroxine. They should be taken at least four hours apart from levothyroxine.

Choice C rationale:

While bulk-forming laxatives can interfere with the absorption of some medications, there’s no specific evidence they interfere with levothyroxine.

Choice D rationale:

Oral antihistamines do not have a known interaction with levothyroxine.

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A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide.The client reports feeling anxious and having profuse sweating.Which of the following findings should the nurse expect?

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A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide.
The client reports feeling anxious and having profuse sweating.
Which of the following findings should the nurse expect?