After teaching a class about the various drugs used to control blood glucose, the instructor determines that the teaching was successful when the class identifies what as a biguanide?

Miglitol

Metformin

Tolbutamide

Glipizide

Answer and Explanation

The Correct Answer is B

Metformin is a biguanide. Metformin is an antihyperglycemic agent used primarily for type 2 diabetes. It works by decreasing glucose production in the liver and increasing insulin sensitivity in body tissues.

A-Miglitol is an alpha-glucosidase inhibitor.

C- Tolbutamide is a sulfonylurea.

D-Gliclazide is a sulfonylurea.

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Correct Answer is D

Explanation

Morphine is an opioid medication used to treat moderate to severe pain but comes with a list of contraindications where its use would be inappropriate or dangerous.

A-A myocardial infarction, commonly known as a heart attack, is not a contraindication for morphine; in fact, morphine can be used to relieve pain associated with heart attacks.

B-Postoperative pain management following hip arthroplasty often includes opioids like morphine, unless specific contraindications are present.

C-While morphine can affect respiratory function, bronchitis pleurisy is not listed as a direct contraindication. However, caution is advised due to the potential for respiratory depression.

D-Paralytic ileus, a condition of obstructed bowel without any mechanical cause, is a contraindication for morphine use because opioids can exacerbate the condition by slowing down intestinal motility, leading to increased risk of significant complications.

A. Hyperglycemia B. Hypoglycemia C. Ketoacidosis D. Nephropathy

Correct Answer is B

Explanation

Rationale-The symptoms of sweating and feeling anxious in a client with type 1 diabetes mellitus are indicative of hypoglycemia. Hypoglycemia occurs when blood sugar levels fall too low, which can happen with the administration of insulin or other diabetes medications, missed meals, or increased exercise without adequate dietary adjustment. These symptoms are part of the body's natural response to low blood sugar, as it tries to signal the need for a source of energy. It is important for the nurse to recognize these signs promptly and respond with appropriate interventions, such as providing a fastacting carbohydrate, to prevent further complications associated with hypoglycemia.

A, C -Hyperglycemia and ketoacidosis presents with respiratory distress and a fruity odor. They occur due

D-Nephropathy presents with lack or reduced urine output. Injury occurs the renal tubules reduces renal ultrafiltration and reabsorption.

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After teaching a class about the various drugs used to control blood glucose, the instructor determines that the teaching was successful when the class identifies what as a biguanide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings Should the nurse identify as a contraindication to this medication?

Correct Answer is D

Explanation

A nurse is assessing a client who has type 1 diabetes mellitus and finds the client lying in bed, sweating. and reporting feeling anxious. Which of the following complications should the nurse suspect?

Correct Answer is B

Explanation

A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?

A nurse is teaching a newly licensed nurse about assessing a client who received naloxone to treat opioid toxicity. The nurse should include that which of the following findings indicate the intervention is effective?

A nurse is teaching about disease management for a client who has type 1 diabetes mellitus. Which statement made by the client indicates an understanding of the teaching?

A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete which priority assessment?

A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?

A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

A nurse is preparing to administer 250 mg of an antibiotic 1M. Available is 3 g/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?