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 B

Explanation

A. "Season foods with salt and pepper.": Spicy and seasoned foods can irritate the gastric mucosa, potentially worsening gastritis symptoms, so this advice is not appropriate.
B. "Eat small frequent meals daily.": Smaller, more frequent meals help reduce gastric acid secretion and minimize irritation of the stomach lining, which can alleviate symptoms of gastritis and promote healing.
C. "Use ibuprofen as needed for discomfort.": Nonsteroidal anti-inflammatory drugs like ibuprofen can exacerbate gastritis by irritating the stomach lining and increasing the risk of bleeding, so they should be avoided.
D. "Take a Vitamin E supplement daily.": There is no clear evidence supporting the use of vitamin E supplements for gastritis management, and supplementation is not a standard recommendation in this condition.

A. Hallucinations B. Sleep pattern C. Heart rate D. Skin turgor E. Hygiene

Correct Answer is ["A","B","C","D"]

Explanation

A. Hallucinations: The client appears to be responding to unseen stimuli, indicating auditory hallucinations. This psychotic feature requires immediate follow-up due to risks of harm to self or others.
B. Hygiene: Although the client is unclean, poor hygiene is a common and non-urgent symptom during manic episodes. It does not require immediate intervention compared to issues with psychosis, dehydration, or cardiovascular stability.
C. Heart rate: The client’s heart rate is 120/min, which is tachycardia (normal range: 60–100/min). This may reflect dehydration, overstimulation, or a manic state and requires urgent assessment.
D. Skin turgor: Poor skin turgor suggests dehydration, possibly from inadequate intake during mania. Dehydration can worsen cognitive status and vital signs and must be addressed quickly.
E. Sleep pattern: The client has not slept in 2 days, which is dangerous in manic states. Severe sleep deprivation increases the risk for psychosis, agitation, and physical exhaustion, requiring prompt intervention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has gastritis. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client. Exhibits The nurse is assessing the client. Select the 4 findings that require immediate follow-up.

Correct Answer is ["A","B","C","D"]

Explanation

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