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

Glargine is a long-acting insulin that can provide a steady level of insulin for up to 24 hours. This would be suitable for a client who does not want to administer insulin on the plane, as they would only need one injection per day.

Choice A. Aspart is wrong because aspart is a rapid-acting insulin that has a peak effect within 1 to 3 hours and lasts for 3 to 5 hours.

This would require frequent injections and monitoring of blood glucose levels.

Choice B. Lispro is wrong because lispro is also a rapid-acting insulin that has a similar onset and duration as aspart.

It would not provide adequate coverage for a long international flight.

Choice C. Glulisine is wrong because glulisine is another rapid-acting insulin that has an onset of 15 minutes and a duration of 2 to 4 hours.

It would also require multiple injections and frequent blood glucose checks.

Normal ranges for blood glucose levels are 70 to 130 mg/dL before meals and less than 180 mg/dL after meals.

A. Apical heart rate. B. Blood pressure. C. Mental status. D. Skin integrity.

Correct Answer is C

Explanation

Dronabinol is a synthetic cannabinoid that can cause psychoactive effects such as euphoria, anxiety, hallucinations, and paranoia. The nurse should monitor the client’s mental status after administering the drug and report any changes or adverse reactions.

Choice A is wrong because dronabinol does not affect the heart rate significantly.

Choice B is wrong because dronabinol may lower or raise the blood pressure depending on the dose and the individual response, but this is not a priority assessment.

Choice D is wrong because dronabinol does not affect the skin integrity directly.

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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

A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client’s occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client’s needs?

Correct Answer is D

Explanation

A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol. In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?

Correct Answer is C

Explanation

What statement by a client who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective?

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