The nurse is administering sulfonylurea drugs to four different patients diagnosed with type 2 diabetes. Which patient should not receive the medication as ordered?
A 42-year-old man with hypertension
A 37-year-old man with a blood glucose level of 140
A 50-year-old woman with shingles
An 80-year-old woman with an allergy to sulfa
The Correct Answer is D
A. Hypertension does not contraindicate the use of sulfonylureas.
B. A blood glucose level of 140 mg/dL is a common finding in type 2 diabetes, and sulfonylureas are used to control such levels.
C. Shingles (herpes zoster) does not directly contraindicate the use of sulfonylureas.
D. Sulfonylureas should not be given to patients with a sulfa allergy because these medications contain sulfa compounds, which could cause an allergic reaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["40"]
Explanation
Volume (mL) = Desired dose (mg) / Concentration (mg/mL)
In this case:
- Desired dose = 40 mg
- Concentration = 5 mg/5 mL
Plugging the values into the formula:
- Volume = 40 mg / (5 mg/5 mL) = 40 mL
Correct Answer is C
Explanation
A. Bradycardia is not specifically associated with Addison's disease and can occur in various conditions.
B. Addison's disease typically causes hyperkalemia, not hypokalemia, due to insufficient aldosterone production.
C. Hypotension is a common manifestation in Addison's disease because of inadequate cortisol and aldosterone, leading to decreased blood volume and vascular resistance.
D. Hypernatremia is not typical in Addison's disease; rather, clients usually experience hyponatremia due to the lack of aldosterone leading to sodium loss.
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