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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 B

Explanation

Rationale:

A. Requesting a referral is important but not immediately critical compared to other needs.

B. Asking about a PCA pump with morphine indicates a potential issue with pain management or medication delivery that needs immediate attention.

C. Assisting with a bath is important for comfort and hygiene but is less urgent compared to immediate pain management.

D. Questions about a new prescription should be addressed but are generally less urgent than issues related to pain management.

A. Providing a back rub to a client who has right-sided paralysis B. Transporting a client who experienced a stroke 72 hr ago to the radiology department C. Performing oral hygiene for a client who is 1 day postoperative following an amputation of the right arm D. Removing and cleaning the cannula of a client who has a new tracheostomy

Correct Answer is D

Explanation

Rationale:

A. Providing a back rub can be done by an AP, as it does not require specialized nursing skills.

B. Transporting a client is an appropriate task for an AP if the client is stable.

C. Performing oral hygiene for a postoperative client can be managed by an AP with supervision.

D. Removing and cleaning the cannula of a new tracheostomy requires specific skills and knowledge that only a licensed nurse should perform to avoid complications.

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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?

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A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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