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 medication?
Methylprednisolone
Ondansetron
Guaifenesin
Amoxicillin
The Correct Answer is A
A. Methylprednisolone: This corticosteroid is commonly used to reduce inflammation in conditions like pneumonia. One of its known adverse effects is hyperglycemia, especially during stress or infection, due to its role in increasing gluconeogenesis and decreasing peripheral glucose uptake.
B. Ondansetron: This antiemetic is used to prevent nausea and vomiting. It does not significantly affect blood glucose levels and is not associated with hyperglycemia as an adverse effect.
C. Guaifenesin: As an expectorant, guaifenesin helps loosen mucus in the airways but has no known effect on glucose metabolism. It is not linked to elevated blood glucose in clinical use.
D. Amoxicillin: This antibiotic is effective in treating bacterial pneumonia but does not impact glucose levels. Hyperglycemia is not a typical adverse effect of this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Exaggerated: This type of grief involves intense emotions and behaviors, such as suicidal ideation or severe depression, that impair daily functioning. The statement does not suggest overwhelming or dysfunctional grief responses.
B. Delayed: Delayed grief occurs when emotional reactions are postponed and surface later, often unexpectedly. The family member’s active emotional expression shows that the grief is not being suppressed or postponed.
C. Anticipatory: Anticipatory grief occurs when individuals begin to grieve before the actual loss, often in response to a terminal diagnosis. The family member’s difficulty in “letting go” suggests they are grieving in advance of the client’s death.
D. Disenfranchised: Disenfranchised grief arises when a person’s mourning is not acknowledged or supported by society. There is no indication in this case that the family member’s grief is being dismissed or invalidated.
Correct Answer is C
Explanation
A. Avoid eating seafood to minimize risk to the newborn: Seafood contains important nutrients like omega-3 fatty acids that support infant brain development; moderate consumption of low-mercury seafood is generally safe and encouraged during breastfeeding.
B. Wait 1 hour to breastfeed after consuming alcohol: Alcohol peaks in breast milk approximately 30 to 60 minutes after consumption; waiting only 1 hour may not be sufficient to prevent infant exposure depending on the amount consumed.
C. Consume additional calories each day to support milk production: Breastfeeding increases a mother’s energy needs by about 450 to 500 calories per day, so additional caloric intake is necessary to maintain adequate milk supply and support maternal health.
D. Caffeine slowly enters breast milk after maternal consumption: Caffeine passes into breast milk relatively quickly, usually within 30 to 60 minutes after ingestion, so it does not enter slowly but rather fairly rapidly after consumption.
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