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.
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Related Questions
Correct Answer is ["D","E"]
Explanation
A. Medicare Part A: Medicare Part A primarily covers hospital inpatient services and is generally for adults aged 65 and older or those with certain disabilities. It is not typically the primary resource for a young adult below the poverty level needing home IV therapy.
B. Adult day care: Adult day care services are designed for older adults or individuals with disabilities who need daytime supervision or assistance, so this resource is not applicable for a young adult requiring home IV therapy.
C. Respite care: Respite care provides temporary relief for caregivers, which can be helpful but is not a direct resource for financial assistance or home care needs related to IV therapy for a young adult.
D. Food stamps: Food stamps, now known as the Supplemental Nutrition Assistance Program (SNAP), provide nutritional support for individuals and families with low income and can help address food insecurity during recovery.
E. Medicaid: Medicaid is a state and federally funded program that offers health coverage, including home health services and medical supplies, for individuals with low income, making it a critical resource for managing home IV therapy.
Correct Answer is B
Explanation
A. Client was nauseated immediately after surgery: While postoperative nausea is important to document, it is an event that occurred in the past and may not reflect the client’s current status 36 hours after surgery.
B. Client’s pain relieved by position change: This information is critical as it reflects the current effectiveness of nonpharmacologic pain management strategies and guides ongoing care for comfort.
C. Checked for peripheral IV blood return prior to antibiotic: This is a routine nursing task that was completed. While important for safe medication administration, it's a procedural detail of a completed task and not usually included in a concise shift report.
D. Client provided with breakfast tray at 0800: Although documenting nutrition is important, the exact timing of meal delivery is less significant than clinical status information during shift handoff.
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