A patient with type 1 diabetes was prescribed a glucocorticoid for COPD. Which will the nurse expect in this patient?
No change in blood sugar
A decrease in the blood pressure
An increase in the blood sugar
An increase in the need for carbohydrates
The Correct Answer is C
Choice A reason: Glucocorticoids can cause an increase in blood sugar by stimulating gluconeogenesis and inhibiting insulin action. Therefore, a patient with type 1 diabetes who is taking glucocorticoids will not have no change in blood sugar, but rather a rise in blood sugar.
Choice B reason: Glucocorticoids can cause an increase in blood pressure by promoting sodium and water retention and increasing vascular reactivity. Therefore, a patient with type 1 diabetes who is taking glucocorticoids will not have a decrease in the blood pressure, but rather a possible increase in the blood pressure.
Choice C reason: Glucocorticoids can cause an increase in blood sugar by stimulating gluconeogenesis and inhibiting insulin action. Therefore, a patient with type 1 diabetes who is taking glucocorticoids will have an increase in blood sugar. This is the correct statement that describes the expected effect of glucocorticoids in this patient.
Choice D reason: Glucocorticoids can cause an increase in blood sugar by stimulating gluconeogenesis and inhibiting insulin action. Therefore, a patient with type 1 diabetes who is taking glucocorticoids will not have an increase in the need for carbohydrates, but rather a need for more insulin to control the blood sugar.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Potassium is not restricted in the management of high blood pressure. In fact, potassium can help lower blood pressure by balancing the effects of sodium and relaxing the blood vessel walls.
Choice B reason: Magnesium is not restricted in the management of high blood pressure. Magnesium can also help lower blood pressure by regulating the calcium channels and improving the endothelial function.
Choice C reason: Calcium is not restricted in the management of high blood pressure. Calcium can also help lower blood pressure by inhibiting the renin-angiotensin system and reducing the vascular resistance.
Choice D reason: Sodium is restricted in the management of high blood pressure. Sodium can increase blood pressure by retaining water in the body and increasing the blood volume and pressure.
Correct Answer is D
Explanation
Choice A reason: Albuterol is not used to treat acute allergies. It is a bronchodilator that relaxes the smooth muscles of the airways and improves airflow. Antihistamines are the drugs of choice for acute allergies.
Choice B reason: Albuterol is not used to treat nasal congestion. It is a bronchodilator that acts on the lungs, not the nose. Decongestants are the drugs of choice for nasal congestion.
Choice C reason: Albuterol is not used to treat dyspnea on exertion. It is a bronchodilator that is used for acute or chronic respiratory conditions, such as asthma or chronic obstructive pulmonary disease (COPD). Dyspnea on exertion is a symptom of various cardiac or pulmonary disorders that require further evaluation and treatment.
Choice D reason: Albuterol is used to treat acute bronchospasm. It is a bronchodilator that quickly relieves the symptoms of bronchoconstriction, such as wheezing, coughing, and shortness of breath. It is often prescribed as a rescue inhaler for patients with asthma or COPD.
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