The nurse is caring for a 64-year-old male client with diabetes who is being treated with a nonselective beta-blocker. What health education should the nurse prioritize with this client?
The benefit to eating frequent small meals during the day
Perform more frequent blood glucose checks due to effects of the drug
The need to weight himself once per week at the same time of the day
The correct method for taking their own apical pulse
The Correct Answer is A
A. The benefit to eating frequent small meals during the day: Nonselective beta-blockers can mask symptoms of hypoglycemia, making it harder for patients with diabetes to recognize low
blood sugar levels. Eating frequent small meals can help stabilize blood sugar levels and reduce the risk of hypoglycemia.
B. Perform more frequent blood glucose checks due to effects of the drug: While it's important for patients with diabetes to monitor their blood glucose levels regularly, this instruction doesn't directly address the potential masking of hypoglycemia symptoms by beta-blockers.
C. The need to weight himself once per week at the same time of the day: Weight monitoring is important for overall health management but is not specifically related to the use of nonselective beta-blockers in diabetes management.
D. The correct method for taking their own apical pulse: Knowing how to take one's own apical pulse is important for some individuals, but it's not directly related to the management of
diabetes with nonselective beta-blockers.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Attention deficit hyperactivity disorder (ADHD) - Correct. CNS stimulants like
methylphenidate and amphetamine derivatives are commonly used to treat ADHD by improving attention, focus, and impulse control.
B. Panic attacks - Incorrect. CNS stimulants are not typically used to treat panic attacks.
Medications such as benzodiazepines or selective serotonin reuptake inhibitors (SSRIs) are more commonly used for panic disorder.
C. Narcolepsy - Correct. CNS stimulants are used to treat narcolepsy, a sleep disorder characterized by excessive daytime sleepiness and sudden attacks of sleep.
D. Neonatal apnea - Incorrect. CNS stimulants are not indicated for neonatal apnea.
Management of neonatal apnea usually involves supportive measures, respiratory support, and caffeine citrate as a respiratory stimulant.
E. Obesity - Correct. CNS stimulants like phentermine are sometimes used as adjuncts to diet and exercise for short-term management of obesity
Correct Answer is ["A","B","D"]
Explanation
A. Constipation is a common adverse effect of opioid medications, including hydrocodone.
Opioids can slow down bowel motility, leading to constipation.
B. Lightheadedness is a common side effect of opioids, particularly when a patient first starts
taking them or when the dose is increased. It can be due to the central nervous system depressant effects of the medication.
C. Pain relief is the therapeutic effect of acetaminophen/hydrocodone, not an adverse effect.
D. Urinary retention can occur with opioid use due to their effects on the urinary sphincters and bladder muscle tone. Patients may experience difficulty urinating or incomplete emptying of the bladder.
E. Diarrhea is not a common adverse effect of acetaminophen/hydrocodone. In fact, opioids more commonly cause constipation rather than diarrhea.
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