The nurse is preparing to administer trimethoprim-sulfamethoxazole (TMP-SMX) to a patient who is being treated for a urinary tract infection
The nurse learns that the patient has type 2 diabetes mellitus and takes a sulfonylurea oral antidiabetic drug. The nurse will monitor this patient closely for which effect?
a. Headaches
b. Hypertension
c. Hypoglycemia
d. Superinfection
ANS: C
Taking oral antidiabetic agents (sulfonylurea) with sulfonamides increases the hypoglycemic effect. Sulfonylureas do not increase the incidence of headaches, hypertension, or superinfection when taken with sulfonamides. Examples of antidiabetic sulfonylurea medications are glipizide, glimepride, glyburide, tolaamide, and tolbutamide.
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Which clinical manifestations would serve to alert the nurse to the early onset of MS?
A. Hyperresponsive reflexes B. Excessive somnolence C. Nystagmus and ataxia D. Heat intolerance
A patient taking a nonsteroidal anti-inflammatory drug (NSAID) tells you that the drug causes an upset stomach. What is your best response?
a. "Always take this drug with food or with milk." b. "Stop taking the drug and notify your prescriber." c. "Try chewing the drug instead of swallowing it whole." d. "Take the drug on an empty stomach to avoid vomiting."
The nurse is screening children before they enter preschool. The expected visual acuity at this age is:
A) 20/20, B) 20/40, C) 20/60, D) 20/100,
The nurse is assessing how a client copes with stress. Which of the following is the best question to ask the client?
a. "How have you handled similar stress in the past?" b. "How do you feel when you face stressful situations?" c. "What is it that causes your stress?" d. "Do you see this as an actual or potential stressor?"