Sulfonylureas may be added to a treatment regimen for type 2 diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels. Sulfonylureas have been moved to Step 2 therapy because they:
a. Increase endogenous insulin secretion
b. Have a significant risk for hypoglycemia
c. Address the insulin resistance found in type 2 diabetics
d. Improve insulin binding to receptors
Answer: b. Have a significant risk for hypoglycemia
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The nurse is planning goals for a client diagnosed as having a personality disorder. The main goal of therapy is to help the client to
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The nurse is examining a child. The child's pharynx is reddened, with yellow exudate noted on each tonsil. The tongue is red with enlarged taste buds. Petechiae are visualized on the child's soft palate near the uvula
Which of the following physician orders is most important and appropriate for this child? 1. Saline mouth rinses 2. Throat culture 3. Dental referral 4. Aspirin for pain
The nurse is preparing a class for a group of newly diagnosed diabetics. The nurse understands it is essential to a sound teaching methodology to:
A) Provide low-sugar/low-fat snacks during class. B) Provide opportunities for learners of all ages to ask questions or voice concerns. C) Pre- and post-test the class on content taught. D) Limit the class to no more than 1 hour.
The patient comes to the emergency department complaining of coughing and difficulty breathing. The patient's diagnosis is heart failure. He asks the nurse how difficulty breathing could be a heart problem. What is the best response by the nurse?
1. "The right side of your heart has weakened and blood has entered your lungs." 2. "The right side of your heart has enlarged and cannot effectively pump blood." 3. "What you have is called congestive heart failure." 4. "The left side of your heart is weak and pumps blood too quickly." 5. "The left side of your heart has weakened and blood has entered your lungs."