Nonselective beta blockers and alcohol create serious drug interactions with insulin because they:
1. Increase blood glucose levels
2. Produce unexplained diaphoresis
3. Interfere with the ability of the body to metabolize glucose
4. Mask the signs and symptoms of altered glucose levels
4
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On a hot humid day, an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1 ° F (40.1 ° C), pulse 132 beats/min, respirations 26 breaths/min, blood pressure 106/66 mm Hg. Which action should the nurs
a. Encourage the client to drink cool water or sports drinks. b. Start an intravenous line and infuse 0.9% saline solution. c. Administer acetaminophen (Tylenol) 650 mg orally. d. Encourage rest and re-assess in 15 minutes.
The wife of a client being cared for in hospice has begun to "micromanage" the client's care, seeing
to each and every detail herself. She angrily tells the hospice nurse the care the hospice aide and other family members provide leaves the client uncomfortable, so she must do everything herself. She asks "Why is this happening? Why can't someone help before I go crazy?" The hospice nurse should a. provide teaching about anticipatory grieving. b. refer the client for crisis intervention. c. assign new hospice personnel to the case. d. arrange for hospitalization for the client.
The nurse is concerned that the patient will pull out the endotracheal tube. As part of the nursing management, the nurse obtains an order for:
a. a Posey-type vest. b. a higher dosage of lorazepam. c. propofol. d. soft wrist restraints.
The most chronic blood-borne infection in the United States is:
a. hepatitis A. b. hepatitis B. c. hepatitis C. d. HIV.