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A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?

"I had strep throat about one year ago."

"I got my flu shot at the pharmacy two weeks ago."

"I plan to continue nursing my baby until he is at least a year old."

"I am allergic to shellfish."

Answer and Explanation

The Correct Answer is C

Rationale:

A. "I had strep throat about one year ago" is not directly related to contraindications for glyburide.

B. "I got my flu shot at the pharmacy two weeks ago" does not affect the use of glyburide.

C. "I plan to continue nursing my baby until he is at least a year old" indicates a contraindication because glyburide is not recommended for use during breastfeeding due to potential effects on the infant.

D. "I am allergic to shellfish" is not relevant to the contraindications for glyburide.

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Correct Answer is D

Explanation

Rationale:

A. Lean gently over the back of a chair sitting to one side of the room may appear disengaged or unprofessional.

B. Cross her arms over her chest is a closed posture that may seem defensive or unapproachable.

C. Stare at the people the announcement will affect the most can be intimidating or uncomfortable for others.

D. Sit in front of the group for the meeting and then stand for the announcement is effective for emphasizing the importance of the announcement and engaging the audience.

A. A toddler who has asthma and has a pulse oximetry reading of 95% while receiving oxygen at 2 L/min B. An adolescent who has sickle cell disease, reports pain as 7 on a scale of 0 to 10, and requests pain medication C. A toddler who has otitis media, a temperature of 39.2" C (102.6° F), and purulent ear discharge D. A school-age child who has acute epiglottitis, is drooling, and has an absence of spontaneous cough

Correct Answer is D

Explanation

Rationale:

A. A toddler with asthma and a pulse oximetry reading of 95% is stable and manageable with current oxygen therapy.

B. An adolescent with sickle cell disease is in pain but does not require immediate intervention compared to other scenarios.

C. A toddler with otitis media has a fever and discharge but is not in immediate danger.

D. A school-age child with acute epiglottitis is at high risk for airway obstruction and requires urgent care due to the drooling and absence of spontaneous cough, which are signs of a potentially life-threatening condition.

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A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?

Nursing Test Bank

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