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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Ask the client if they would prefer a translator who is the same gender: Cultural sensitivity includes acknowledging gender preferences in healthcare interactions. Offering a choice respects the client’s values and supports effective, respectful communication.
B. Ask a nursing student who speaks the same language as the client to translate: Using untrained staff or students as interpreters can lead to errors or breaches in confidentiality. Only qualified medical interpreters should be used to ensure accuracy and professionalism.
C. Use a website with a ".com" URL to translate for the client: Online translation tools are not reliable for medical communication. They can lead to serious misunderstandings and are not appropriate for clinical use.
D. Request a family member of the client to translate: Family members may lack the language skills or medical knowledge to translate accurately and may filter or misinterpret information. This can compromise informed consent and patient safety.

A. “Take your temperature within 30 minutes after your first morning void.” B. “Take your temperature every night before going to bed.” C. “Take your temperature immediately after waking and before getting out of bed." D. "Take your temperature 1 hour after getting out of bed."

Correct Answer is C

Explanation

A. “Take your temperature within 30 minutes after your first morning void”: Delaying the temperature reading can introduce external variables that affect accuracy. Activities like walking or urination can raise core body temperature slightly and distort the basal reading.
B. “Take your temperature every night before going to bed”: Evening temperatures do not reflect basal body temperature, which must be measured after a period of complete rest. Nighttime readings are affected by daily activities and are not reliable for this method.
C. “Take your temperature immediately after waking and before getting out of bed”: Basal body temperature should be taken at the same time every morning before any physical activity to ensure accuracy in detecting ovulation-related changes in body temperature.
D. “Take your temperature 1 hour after getting out of bed”: Waiting an hour allows for changes due to movement, eating, and other morning activities, making the reading inaccurate for monitoring the subtle shifts associated with ovulation.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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