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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Montelukast does not improve peripheral vasodilation. It is a leukotriene receptor antagonist used to reduce inflammation in the airways.
Choice B rationale:
Montelukast does not increase the WBC count. It works by reducing inflammation in the airways, not by affecting the immune system.
Choice C rationale:
Montelukast does not neutralize gastric acid. It is not an antacid or proton pump inhibitor, it is used to reduce inflammation in the airways.
Choice D rationale:
Montelukast reduces bronchial inflammation. It helps to prevent asthma attacks and exercise-induced bronchoconstriction by reducing inflammation in the airways.
Correct Answer is C
Explanation
Choice A rationale:
Atenolol is a beta-blocker used to treat high blood pressure and heart-related conditions. It’s not used in the treatment of alcohol use disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used to treat anxiety disorders. It can be used in the acute management of alcohol withdrawal, but it doesn’t assist in maintaining abstinence.
Choice C rationale:
Disulfiram is a medication used to support the treatment of chronic alcoholism by producing an acute sensitivity to ethanol (drinking alcohol) If alcohol is consumed when a patient has received disulfiram treatment, they suffer from a disulfiram-alcohol reaction, which can include symptoms like flushing, nausea, vomiting, and headaches. This aversive effect aids in discouraging the consumption of alcohol.
Choice D rationale:
Carbamazepine is an anticonvulsant and mood stabilizer medication used primarily in the treatment of epilepsy and bipolar disorder, not for alcohol use disorder.
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