When providing health education to a client taking octreotide, the nurse should warn the client about the possibility of what potential adverse effect?

Abdominal pain.

Tinnitus.

Alteration in consciousness.

Changes in vision.

Answer and Explanation

The Correct Answer is A

Octreotide is a synthetic analog of somatostatin, a hormone that inhibits the secretion of growth hormone, insulin, glucagon, and other hormones. Octreotide can cause gastrointestinal side effects such as abdominal pain, diarrhea, constipation, nausea, vomiting, and flatulence. These side effects are more common and severe with the oral route than with the injectable route.

Choice B is wrong because tinnitus, or ringing in the ears, is not a common or serious side effect of octreotide.

Choice C is wrong because alteration in consciousness is not a common or serious side effect of octreotide.

However, octreotide can affect blood glucose levels and cause hypoglycemia or hyperglycemia, which can lead to confusion, dizziness, fainting, seizures, or coma in severe cases.

Choice D is wrong because changes in vision are not a common or serious side effect of octreotide.

However, octreotide can cause rare but serious eye problems such as blurred vision, double vision, eye pain, or blindness due to optic nerve damage or retinal detachment.

These eye problems require immediate medical attention.

Normal ranges for blood glucose are 70 to 100 mg/dL (3.9 to 5.6 mmol/L) for fasting and less than 140 mg/dL (7.8 mmol/L) for postprandial.

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Correct Answer is C

Explanation

Hypercalcemia is a condition caused by having too much calcium in the blood, which can affect the function of nerves, muscles, kidneys and heart. Hypercalcemia can occur in children due to various causes, both acquired and genetic. One of the most common causes of hypercalcemia in children is cancer, especially cancers that affect the bones or produce substances that mimic parathyroid hormone (PTH), which regulates calcium levels.

Choice A is wrong because liver failure does not directly cause hypercalcemia, although it can affect vitamin D metabolism and calcium absorption.

Choice B is wrong because radiation injury does not cause hypercalcemia, unless it damages the parathyroid glands or causes bone destruction.

Choice D is wrong because hypothyroidism does not cause hypercalcemia, although it can affect bone turnover and calcium excretion.

A. Diaphoresis. B. Flushing of the face. C. Fruity breath. D. Unpredictable behaviors.

Correct Answer is A

Explanation

Diaphoresis means excessive sweating, which is one of the symptoms of hypoglycemia. Hypoglycemia occurs when the blood sugar level is lower than the normal range, which can cause dizziness, confusion, weakness, hunger, and other signs.

Choice B is wrong because flushing of the face is not a symptom of hypoglycemia.

Flushing can be caused by other conditions, such as fever, allergic reactions, or rosacea.

Choice C is wrong because fruity breath is a symptom of hyperglycemia, not hypoglycemia.

Hyperglycemia means high blood sugar level, which can cause the body to produce ketones that give the breath a fruity odor.

Choice D is wrong because unpredictable behaviors are not a specific symptom of hypoglycemia.

However, hypoglycemia can cause confusion, irritability, or anxiety, which may affect the behavior of some people.

The normal range of blood sugar level for most people is between 70 and 130 mg/dL (3.9 and 7.2 mmol/L) before meals and less than 180 mg/dL (10 mmol/L) after meals.

However, this may vary depending on the individual and the type of diabetes.

It is important to monitor the blood sugar level regularly and treat hypoglycemia promptly by eating or drinking a simple sugar source.

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When providing health education to a client taking octreotide, the nurse should warn the client about the possibility of what potential adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a pediatric client with a new onset of hypercalcemia. What condition would be most likely to cause this altered serum calcium level?

Correct Answer is C

Explanation

The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?

Correct Answer is A

Explanation

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