A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?
Atorvastatin
Prednisone
Ranitidine
Guaifenesin
The Correct Answer is B
A. Atorvastatin: Atorvastatin is a statin medication used to lower cholesterol levels. It is not known to cause glucose intolerance.
B. Prednisone: Prednisone is a corticosteroid and can cause glucose intolerance by increasing blood glucose levels. Corticosteroids can lead to insulin resistance, impaired glucose utilization, and increased gluconeogenesis.
C. Ranitidine: Ranitidine is an H2 receptor antagonist used to reduce stomach acid production. It is not known to cause glucose intolerance.
D. Guaifenesin: Guaifenesin is an expectorant used to help loosen mucus in the airways. It is not known to cause glucose intolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Storing unopened bottles of insulin in the freezer is incorrect. Insulin should be stored in the refrigerator, and freezing can damage the insulin.
B. Having a morning blood glucose level between 200 and 230 is too high. The target range for fasting blood glucose is generally lower, and elevated levels may indicate the need for adjustment in insulin or other medications.
C. Eating a snack half an hour before playing soccer is a correct understanding. This helps prevent hypoglycemia during physical activity. Physical activity can lower blood glucose levels, and a pre-activity snack can provide additional carbohydrates to prevent low blood sugar.
D. Not taking regular insulin when sick is incorrect. In fact, insulin needs may increase during illness, and it is usually recommended to continue taking insulin even when sick. Adjustments to the insulin regimen may be needed under the guidance of healthcare providers.
Correct Answer is A
Explanation
A. Fatty stools:
Obstruction of the common bile duct can result in impaired bile flow, leading to a decrease in bile salts reaching the intestine. This can result in the malabsorption of fats, causing fatty or greasy stools (steatorrhea).
B. Tenderness in the left upper abdomen:
Tenderness in the left upper abdomen might be more commonly associated with conditions like splenic issues or stomach problems rather than an obstruction of the common bile duct.
C. Straw-colored urine:
Straw-colored urine is typical of well-hydrated individuals and might not directly correlate with an obstruction of the common bile duct.
D. Ecchymosis of the extremities:
Ecchymosis (bruising) of the extremities is not typically associated with an obstruction of the common bile duct resulting from chronic cholecystitis.
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