A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive pulmonary disease. Which will the nurse expect in the treatment plan?
a. A decrease in the amount of insulin needed
b. No change in the amount of insulin needed
c. An increase in the need for carbohydrates
d. An increase in the insulin needed
ANS: D
Glucocorticoids may elevate blood glucose levels and induce hyperglycemia, particularly in prediabetic or diabetic patients. Insulin needs increase with an increase in blood glucose levels. Carbohydrate needs will not increase.
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A client with chronic paranoid schizophrenia is scheduled to be discharged from the inpatient psychiatric unit in two days
The nurse is working with the client's family to develop a plan for managing psychotic symptoms and emergency behaviors after discharge. Which of the following nursing diagnoses is most appropriate? 1. Noncompliance: Medication Regimen related to paranoid ideation 2. Self-Care Deficit: Bathing/Hygiene related to irrational thought processes 3. Knowledge Deficit: Symptom Management related to inadequate understanding of disease processes 4. Risk for Violence Directed Toward Others related to delusional and persecutory thought process
A pregnant woman with severe preeclampsia is receiving intravenous magnesium sulfate at 3 g/hr. Her serum magnesium level is 7 mg/dL. What is the most important nursing assessment?
A) Decreased incidence and frequency of seizures B) Decreased respiratory rate and hyporeflexia C) Increased urine output greater than 40 mL/hr D) Flushing of skin and diaphoresis
Dizygotic twins develop from:
a. a single fertilized ovum and are always of the same sex. b. a single fertilized ovum and may be the same sex or different sexes. c. two fertilized ova and are the same sex. d. two fertilized ova and may be the same sex or different sexes.
Samuel is in the last stages of Acquired Immune Deficiency Syndrome (AIDS). He has decided to become a part of a research study using experimental drugs that might cure him or hasten his death
Which of the following is an ethical theory guiding the use of experimental drugs that might be harmful? a. Deontology b. Maleficence c. Teleology d. Veracity