The nurse will question what medication order for a diabetic patient who takes insulin to control his blood sugar level?
A) Propranolol (Inderal) 10 mg orally t.i.d.
B) Furosemide (Lasix) 60 mg/d orally
C) Cefaclor (Ceclor) 250 mg orally every 8 hour
D) Metoclopramide (Reglan) 20 mg PO
A
Feedback:
Propranolol is a beta-blocker and should be avoided in combination with insulin. The blocking of the sympathetic nervous system also blocks many of the signs and symptoms of hypoglycemia, hindering the patient's ability to recognize problems. If propranolol must be taken, the nurse will need to teach this patient other ways to recognize hypoglycemia. Furosemide, cefaclor, and metoclopramide do not cause drug–drug interactions with insulin.
You might also like to view...
The nurse would expect which of the following signs and symptoms for a patient with a suspected urinary tract infection (UTI)?
Select all that apply. a. Urinary frequency b. Urinary urgency c. Polyuria d. Abdominal pain e. Proteinuria
Choose the term(s) that would indicate a prediction when used in a directional research hypothesis
1. Corresponding. 2. Decrease. 3. Better. 4. Theoretical. 5. Prove.
The maternal–newborn nurse reviewing charts recognizes that negligence occurs when there is: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. No notification to the physician of change in condition. 2. A failure to give an ordered medication. 3. An infant placed in the wrong crib. 4. Compliance with medication administration principles. 5. Compliance with the standards of care.
Although there are similarities in the different nursing theories, there are key elements that dis-tinguish one from another. The emphasis of Jean Watson's conceptual model is that:
1. Self-care maintains wholeness 2. Stimuli disrupt an adaptive system 3. Subsystems exist in dynamic stability 4. Caring is central to the essence of nursing