Which of these clients would the nurse expect to be the best candidate for misoprostol?

A 12-year-old child with obsessive-compulsive disorder.

A 46-year-old trial lawyer with hypertension.

An 83-year-old client with rheumatoid arthritis.

A 22-year-old pregnant client.

None

Answer and Explanation

The Correct Answer is C

A. A 12-year-old child with obsessive-compulsive disorder is not typically a candidate for misoprostol, as it is not indicated for this condition.

B. A 46-year-old trial lawyer with hypertension might need caution when using misoprostol, as it can cause diarrhea and abdominal pain, which could be problematic.

C. An 83-year-old client with rheumatoid arthritis is the best candidate for misoprostol, particularly if they are taking nonsteroidal anti-inflammatory drugs (NSAIDs) for their condition. Misoprostol is often used to prevent NSAID-induced gastric ulcers in patients at high risk, such as elderly individuals or those with a history of ulcers.

D. A 22-year-old pregnant client should not be given misoprostol unless it is used for specific obstetric indications under close supervision. Misoprostol can induce uterine contractions and is contraindicated in pregnancy unless used for medical reasons like inducing labor or treating postpartum hemorrhage.

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Correct Answer is D

Explanation

Oxygen cannot diffuse rapidly across the membrane to tissues in the eye. This is because diabetic retinopathy is a condition that occurs when high blood sugar levels damage the tiny blood vessels that nourish the retina, the light-sensitive tissue at the back of the eye. As a result, the retina becomes ischemic (lacking oxygen) and tries to grow new blood vessels that are fragile and leaky.

Choice A is wrong because inability of cells in the eye to reproduce is not a cause of diabetic retinopathy.

The retina has a high metabolic rate and needs a constant supply of oxygen and nutrients to function properly.

Choice B is wrong because increase of aqueous humor in the eye is not a cause of diabetic retinopathy.

Aqueous humor is the clear fluid that fills the front part of the eye, not the retina.

An increase of aqueous humor can cause glaucoma, which is a different eye disorder that affects the optic nerve.

Choice C is wrong because decrease of nerve innervations throughout the eye is not a cause of diabetic retinopathy.

Nerve innervations are the connections between nerves and other tissues, such as muscles or glands.

Diabetic retinopathy affects the blood vessels, not the nerves, of the retina.

A. A client who has been diagnosed with gestational diabetes. B. A client with type 2 diabetes, controlled with oral antidiabetic agents, who has a systemic infection. C. A client whose type 2 diabetes is controlled by diet and exercise. D. A client who has been living with type 1 diabetes for 20 years.

Correct Answer is C

Explanation

The nurse should question the administration of human insulin to this client because they do not need exogenous insulin to maintain normal blood glucose levels. Human insulin is indicated for clients who have type 1 diabetes or type 2 diabetes that cannot be controlled by oral antidiabetic agents, diet, or exercise.

Choice A is wrong because a client who has been diagnosed with gestational diabetes may need human insulin to control their blood glucose levels during pregnancy, as oral antidiabetic agents are contraindicated.

Choice B is wrong because a client with type 2 diabetes, controlled with oral antidiabetic agents, who has a systemic infection may need human insulin to manage their blood glucose levels during periods of stress, as infection can increase blood glucose levels and impair the action of oral antidiabetic agents.

Choice D is wrong because a client who has been living with type 1 diabetes for 20 years needs human insulin to replace the endogenous insulin that their pancreas cannot produce.

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Which of these clients would the nurse expect to be the best candidate for misoprostol?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

Correct Answer is D

Explanation

With what client should the nurse question the administration of human insulin?

Correct Answer is C

Explanation

The nurse should question an order for bismuth salts for a client with what condition?

A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days. What is the nurse’s best action?

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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?