A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's blood glucose. The nurse should identify this finding as an adverse effect of which of the following medications?
Ondansetron
Guaifenesin
Amoxicillin
Methylprednisolone
The Correct Answer is D
A. Ondansetron: Ondansetron is an antiemetic that works by blocking serotonin receptors in the chemoreceptor trigger zone. It does not significantly affect glucose metabolism and is not associated with hyperglycemia.
B. Guaifenesin: Guaifenesin is an expectorant that thins respiratory secretions to aid clearance. It has no known effect on blood glucose levels or carbohydrate metabolism.
C. Amoxicillin: Amoxicillin is a broad-spectrum penicillin antibiotic. While it treats bacterial infections, it does not typically alter glucose metabolism or cause hyperglycemia as an adverse effect.
D. Methylprednisolone: Methylprednisolone is a corticosteroid that increases gluconeogenesis, decreases peripheral glucose uptake, and antagonizes insulin action. These mechanisms can lead to hyperglycemia, making it the likely cause of the observed increase in the child’s blood glucose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clean blood-contaminated surfaces with bleach: HIV can be transmitted through contact with infected blood. Using a bleach solution to disinfect blood-contaminated surfaces effectively kills the virus, making this an essential infection-prevention measure.
B. Buy disposable dishes for daily use: HIV is not transmitted through casual contact or shared dishes, utensils, or food. Encouraging disposable dishes is unnecessary and does not contribute to infection prevention.
C. Wash soiled clothes in cold water: HIV is not transmitted through clothing or laundry. Additionally, washing in cold water is less effective at removing pathogens; hot water with detergent is preferred for general hygiene, but special precautions for HIV are not required.
D. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants can degrade latex condoms, increasing the risk of breakage. Clients should use water-based or silicone-based lubricants with condoms to reduce the risk of HIV transmission.
Correct Answer is B
Explanation
A. Wear clothing with zippers instead of buttons: Clothing with zippers can be difficult for clients with Alzheimer’s disease who have fine motor skill deficits or cognitive impairment. Buttons or Velcro closures are typically easier for self-dressing and promote independence.
B. Place locks at the tops of exterior doors: Installing locks at higher levels prevents wandering, which is a common safety risk in clients with Alzheimer’s disease. This intervention helps reduce the risk of injury or elopement while allowing the client to move safely within supervised areas.
C. Encourage physical activity prior to bedtime: Physical activity close to bedtime can increase alertness and interfere with sleep. For clients with Alzheimer’s, promoting activity earlier in the day is more appropriate to maintain sleep-wake cycles and reduce nighttime agitation.
D. Replace the carpet with hardwood floors: Removing carpet may reduce tripping hazards in some cases, but hardwood floors can increase the risk of slipping and injury, especially for clients with balance or gait impairments. Non-slip flooring is preferred over bare hardwood for safety.
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