A nurse counsels a patient with diabetes who is starting therapy with an alpha-glucosidase inhibitor. The patient should be educated about the potential for which adverse reaction(s)? (Se-lect all that apply)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea
B, E
Acarbose and miglitol frequently cause flatulence, cramps, abdominal distention, borborygmus (rumbling bowel sounds), and diarrhea. Acarbose also can cause liver damage.
Neither acarbose nor miglitol causes hypoglycemia, elevated iron levels, or fluid retention.
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The nurse is caring for a client with asthma who is sitting in bed with the head elevated 30 degrees and is having trouble breathing effectively
The nurse has read a number of research articles indicating that a 70-degree elevation to the bed is more effective in reducing dyspnea than is a 30-degree elevation. The nurse elevates the head of the bed to 70 degrees, and the client breathes more easily. The nurse has demonstrated use of: 1. Nursing theory. 2. Nursing diagnosis. 3. Evidence-based practice. 4. Goal setting for the client.
A community health nurse uses Roy's model with a community that is dealing with a particular health issue. The nurse would focus community assessment on which of the following?
A) A community's coping mechanisms for use in adaptation B) A community's lines of resistance and defense to stresses C) A community's environmental conditions to improve negative conditions D) A community's collective ability for independence and self-care
A client is admitted to the acute care facility from a private residence where she lives with her granddaughter. The client is 81 years of age
After diagnostic testing is completed, the physician indicates an intestinal obstruction has been located and plans are made for surgical intervention. The nurse is charged with obtaining the surgical consent. A review of the admission information lists the next of kin as a daughter who lives in a neighboring community. Who will be the responsible party to sign the surgical consent? A) The client's granddaughter will sign the consent. B) The client's daughter will sign the consent. C) The client will sign the consent. D) Both the client and the daughter will sign the consent.
Which of the following factors would the nurse focus on when performing a fertility assessment for a client during perimenopause and menopause?
A) Sensitivity of uterus to the oxytocin hormone B) Intrauterine growth restriction C) Outcome of previous pregnancies D) Incompetency of the cervix