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 D
Explanation
A. Levothyroxine (Synthroid) is used to treat hypothyroidism, not hyperthyroidism.
B. Liotrix (Thyrolar) is a combination of T4 and T3 used for hypothyroidism, not hyperthyroidism.
C. Liothyronine (Cytomel) is another thyroid hormone replacement used for hypothyroidism.
D. Propylthiouracil (Propacil) is an antithyroid medication used to treat hyperthyroidism by inhibiting thyroid hormone synthesis.
Correct Answer is B
Explanation
A. Protein is important for metabolism, but increasing fiber is more directly beneficial for managing hypothyroidism symptoms.
B. Fiber intake should be increased because hypothyroidism often causes constipation due to a slowed digestive process. A high-fiber diet helps regulate bowel movements and prevent complications like bloating and discomfort.
C. Polyunsaturated fats do not specifically target hypothyroidism symptoms and excessive intake may interfere with thyroid function.
D. Monounsaturated fats are beneficial for overall health but do not directly address the symptoms of hypothyroidism.
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