The nurse has provided education to a patient with diabetes who is starting on insulin injections.

The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

“I will call my doctor right away.”.

“I will rest until the symptoms pass.”.

“I will take an oral form of glucose.”.

“I will give myself the regular insulin.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While it’s important to keep your doctor informed about your blood glucose levels, a single reading of 57 mg/dL may not require immediate medical attention. However, if hypoglycemia symptoms persist or the patient has repeated episodes of low blood sugar, they should contact their healthcare provider.
Choice B rationale
Resting until the symptoms pass is not an appropriate response to hypoglycemia. Without treatment, hypoglycemia can lead to serious complications, including loss of consciousness or seizures.
Choice C rationale
Taking an oral form of glucose is the correct response when experiencing hypoglycemia. This could be in the form of glucose tablets, juice, or other fast-acting carbohydrates.
Choice D rationale
Giving oneself regular insulin when blood glucose is low could further lower blood glucose levels and worsen hypoglycemia.

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Correct Answer is D

Explanation

Choice A rationale
Tuberculous meningitis is a serious condition, but it is not a contraindication for the use of prednisone.
Choice B rationale
Chronic obstructive pulmonary disease (COPD) is not a contraindication for prednisone. In fact, prednisone is often used to treat exacerbations of COPD56.
Choice C rationale
Cerebral edema is not a contraindication for prednisone. Prednisone is sometimes used to reduce inflammation and swelling in the brain.
Choice D rationale
Peptic ulcer disease is a contraindication for the use of prednisone. Prednisone can increase the risk of peptic ulcers by increasing stomach acid secretion and decreasing the production of protective mucus in the stomach.

A. Lowered blood pressure B. Abdominal distention C. Reduced blood glucose D. Weight loss of 2 pounds

Correct Answer is B

Explanation

Choice A rationale
Prednisone is a corticosteroid, and one of its effects can be fluid retention, which can lead to an increase in blood pressure. Therefore, lowered blood pressure is not typically associated with prednisone use.
Choice B rationale
Abdominal distention can be a side effect of prednisone. This can occur due to fluid retention or increased appetite, both of which can be effects of prednisone.
Choice C rationale
Prednisone can actually cause an increase in blood glucose levels, not a reduction. This is because prednisone can stimulate the liver to release extra glucose and can also make body tissues less sensitive to insulin.
Choice D rationale
Weight gain, not weight loss, is a common side effect of prednisone. This can occur due to increased appetite and fluid retention.

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The nurse has provided education to a patient with diabetes who is starting on insulin injections. The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

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Naxlex Comprehensive Predictor Exams

A patient is prescribed oral prednisone for an exacerbation of an autoimmune disease. Which finding in the patient’s past medical history would contraindicate the use of prednisone?

Correct Answer is D

Explanation

A client has just been prescribed prednisone. Which of the following assessment findings could be attributed to this medication?

Correct Answer is B

Explanation

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The nurse has provided education to a patient with diabetes who is starting on insulin injections.

The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?