What is the action of the biguanide class of antidiabetic drugs that lowers blood glucose levels?

a. Directly forcing beta cells to release more insulin
b. Inhibiting the enzyme that breaks down insulin
c. Preventing the breakdown of glycogen into glucose
d. Increasing the person's need for glucose


ANS: C

Nursing

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A 29-year-old patient who is trying to become pregnant asks the nurse how to determine when she is most likely to conceive. The nurse explains that

a. ovulation is unpredictable unless there are regular menstrual periods. b. ovulation prediction kits provide accurate information about ovulation. c. she will need to bring a specimen of cervical mucus to the clinic for testing. d. she should take her body temperature daily and have intercourse when it drops.

Nursing

A client who self-mutilates is confined in the forensic psychiatric facility. The client has lately become very secretive about acts of cutting and hides them from nurses and other staff

The nurse accidentally finds out that more cutting is occurring and brings the escalation of the client's behaviors for consideration to the interdisciplinary team. Another team member makes this remark about the client, "I say we restrict her privileges, we taught her all sorts of alternatives to stop the behaviors and it has not worked.". What should the nurse reply? A) "We can restrict her privileges and increase our teaching about non-harmful coping strategies.". B) "Right, everything we have tried has not worked and our primary goal must be to keep her from injuring herself.". C) "We should do more than restrict her privileges; we should put her on one-to-one because she might accidentally kill herself.". D) "The answer is not punishment; we must get her to trust us again, reduce her shame, and find ways to make her feel more self-confident.".

Nursing

Which assessment question would be most appropriate to ask a patient who has possible generalized anxiety disorder?

a. "Have you been a victim of a crime or seen someone badly injured or killed?" b. "Do you feel especially uncomfortable in social situations involving people?" c. "Do you repeatedly do certain things over and over again?" d. "Do you find it difficult to control your worrying?"

Nursing

A public health nurse is demonstrating one of the minimum competencies set forth by the National Coalition of Health Professional Education in Genetics (NCHPEG) when

a. Organizing a meeting to discuss the care of cystic fibrosis clients b. Making a referral to a genetics specialist c. Advocating for legislation to support stem cell research d. Educating a client about the results of genetic testing

Nursing