A patient was prescribed chlorpropamide (Diabinese) for treatment of type 2 diabetes mellitus. One week after therapy was initiated, the patient comes to the clinic with report of nausea, flushing, and palpitations. The nurse prioritizes which assessment question?
1. "Have you taken your medication as directed?"
2. "Did you eat or drink anything new this week?"
3. "Have you increased the amount of fiber in your diet?"
4. "Did you drink any alcoholic beverages this week?"
4
Rationale 1: Assessing medication regimen compliance is important but is not the priority.
Rationale 2: Assessing dietary changes is important but is not the priority.
Rationale 3: Assessing dietary changes is important but is not the priority.
Rationale 4: When alcohol is taken with sulfonylureas, some patients experience a disulfiram-like reaction that includes flushing, palpitations, and nausea.
Global Rationale: When alcohol is taken with sulfonylureas, some patients experience a disulfiram-like reaction that includes flushing, palpitations, and nausea. Assessing medication regimen compliance is important but is not the priority. Assessing dietary changes is important but is not the priority.
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A 41-year-old female with a family history of breast cancer has had a baseline mammogram. She states that she performs monthly self-breast exams but really has a hard time evaluating her lumps since she has numerous cysts
At her annual mammogram, the technician views a suspicious area and refers her to the radiologist. She asks the nurse in the office, "How can a lump appear so quickly?" The nurse's response is based on which of the following principles? A) A tumor is undetectable until it has doubled 30 times and contains at least 1 billion cells. B) Many tumor cells never leave the M-phase of the cell cycle. C) Cancer cells are undifferentiated and come in various shapes and sizes. D) If the breast has a lot of cysts, then the fluid within those sacs makes it difficult to feel the hard lumps of a cancer.
The client is being treated with metronidazole. The nurse is preparing an instructional session on dietary restrictions with this drug. What is the highest priority instruction regarding diet?
a. Consume a high-potassium diet during treatment and for 1 month afterward. b. Consume a low-sodium diet during treatment and for 1 month afterward. c. Avoid all products containing alcohol during treatment and for 3 days afterward. d. Avoid all products containing vitamin C during treatment and for 3 days afterward.
Of the following values, which value would be considered prehypertension?
a. 98/50 in a 7-year-old child b. 115/70 in an infant c. 140/90 in an older adult d. 120/80 in a middle-aged adult
A nurse assessing the respiratory system of an adult patient notes a significant decrease in respiratory breath sounds on the left side of the patient's chest. Percussion reveals resonant sounds
The nurse suspects that the patient is most likely exhibiting symptoms of: A) Pulmonary edema B) Bronchitis C) Pneumothorax D) Pneumonia