Question

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

Answer 1

Correct Answers:

Insulin glargine has a duration of 18 to 24 hr.

Rationale :

Corticosteroids inhibit inflammatory processes and collagen synthesis, both essential to normal wound healing. Their immunosuppressive effects increase infection risk and slow tissue repair. In a postoperative setting, this can significantly delay recovery and complicate healing.

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Answer 2

Correct Answers:

Absence of rebound congestion

Rationale :

Oral decongestants relieve nasal congestion without directly acting on the nasal mucosa, which avoids the development of rebound congestion seen with topical sprays used beyond a few days. While they may have systemic side effects, they are more appropriate for long-term use. This makes them preferable in managing chronic allergy-related nasal symptoms.

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Answer 3

Correct Answers:

Delayed wound healing

Rationale :

Corticosteroids inhibit inflammatory processes and collagen synthesis, both essential to normal wound healing. Their immunosuppressive effects increase infection risk and slow tissue repair. In a postoperative setting, this can significantly delay recovery and complicate healing.

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Answer 4

Correct Answers:

Increase fluid intake to help loosen and liquefy secretions.

Rationale :

Guaifenesin is an expectorant that reduces mucus viscosity and promotes productive coughing. Fluids are required to support its mechanism by hydrating secretions, allowing easier expulsion. Without sufficient hydration, its mucolytic action is diminished.

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Answer 5

Correct Answers:

"l should eat more bananas while taking this medication."

Rationale :

Prednisone can cause increased renal potassium excretion, leading to hypokalemia. Consuming potassium-rich foods like bananas helps maintain normal potassium levels and prevent related complications such as muscle weakness or arrhythmias. This response shows appropriate dietary management of a known side effect.

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Answer 6

Correct Answers:

Discard regular insulin that appears cloudy.

Rationale :

Regular insulin must be clear. Cloudiness indicates contamination or degradation, making it unsafe to use. Only NPH insulin is supposed to appear cloudy.

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Answer 7

Correct Answers:

Jaw pain
Dizziness
Esophageal erosion

Rationale :

Jaw pain may indicate osteonecrosis, a rare but serious complication. Esophageal erosion can occur if alendronate is not taken upright with water. Dizziness can occur due to postural changes or calcium imbalance.

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Answer 8

Correct Answers:

Inject 20 units of air into the NPH insulin vial.

Rationale :

Air is injected into the NPH vial first to prevent contamination of regular insulin. This maintains correct technique and insulin integrity. NPH is drawn up second after regular insulin.

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Answer 9

Correct Answers:

Drowsiness

Rationale :

First-generation antihistamines cross the blood-brain barrier and cause sedation. Drowsiness is often the reason patients discontinue use. This side effect is more prominent than GI or sexual effects.

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Answer 10

Correct Answers:

Risk for thrombosis

Rationale :

Smoking and estrogen both increase clotting risk. Combined, they significantly raise the chance of thromboembolic events like DVT or stroke. This risk is highest in women over 35.

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RN Pharmacology NRSG 106(Fletcher)

No.

1 : A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

2 : A gardener needs a decongestant because of seasonal allergy problems and asks the nurse whether he should take an oral form or a nasal spray. Which of these is a benefit of orally administered decongestants?

3 : A patient who has been on long-term corticosteroid therapy has had surgery to correct an abdominal hernia. The nurse keeps in mind that which potential effect of this medication may have the most impact on the patient's recovery?

4 : A patient is taking guaifenesin as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching?

5 : A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

6 : A nurse is teaching a client how to draw up regular insulin and NPH insulin in the same syringe. Which of the following instructions should the nurse include?

7 : A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? (Select all that apply.)

8 : A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?

9 : During a routine checkup, a patient states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering this patient?

10 : During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to increased:

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