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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 C

Explanation

A. "The client works in the hospital radiology department": This information is irrelevant to the client’s current health status and does not imply a need for total care by the nurse.

B. "The client discussed having prior thoughts of suicide": While suicidal ideation is serious and requires careful monitoring and assessment, this information alone does not necessarily indicate that the nurse must assume total care. A nurse would still delegate non-critical tasks to the AP, but constant monitoring and appropriate interventions would still be the nurse’s responsibility.

C. "The client's blood pressure and pulse have been fluctuating throughout the day": Fluctuating vital signs, especially blood pressure and pulse, can indicate an unstable condition that may require immediate attention and careful monitoring. This scenario suggests that the client’s condition may be critical and requires ongoing assessment and evaluation by the nurse, rather than simply delegating tasks like monitoring vital signs to assistive personnel (AP). The nurse needs to assess the situation thoroughly, interpret the fluctuations, and adjust the care plan accordingly.

D. "The client's family members have been present most of the day": Family presence alone does not impact the need for total care by the nurse. It is important for the nurse to communicate with the family, but this statement does not indicate the need for the nurse to assume total care over other team members.

A. Transporting a school-age client who is in traction to another department B. Reading a book to a preschool client who has AIDS C. Rocking an infant who was admitted for croup D. Playing a computer video game with an adolescent who has sickle cell disease

Correct Answer is A

Explanation

Rationale:

A. Transporting a school-age client who is in traction involves handling a medical condition that may require specialized knowledge and skills beyond the volunteer’s capabilities.

B. Reading a book to a client who has AIDS is a supportive activity and does not pose significant risks.

C. Rocking an infant with croup is generally safe and provides comfort to the child.

D. Playing a computer video game with an adolescent is a non-medical activity that is appropriate for a volunteer.

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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

Naxlex Comprehensive Predictor Exams

A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?

Correct Answer is C

Explanation

A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

Correct Answer is A

Explanation

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