After a 3- month trail of dietary therapy, a client with type2 diabetes mellitus still has blood glucose levels above 180 mg/dl. The physician adds glyburide (DiaBeta), 2.5 mg P.O. daily, to the treatment regimen. The nurse should instruct the client to take glyburide:

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Question 1 of 5

After a 3- month trail of dietary therapy, a client with type2 diabetes mellitus still has blood glucose levels above 180 mg/dl. The physician adds glyburide (DiaBeta), 2.5 mg P.O. daily, to the treatment regimen. The nurse should instruct the client to take glyburide:

Correct Answer: D

Rationale: Glyburide (DiaBeta) is a sulfonylurea medication used to treat type 2 diabetes mellitus by stimulating the pancreas to release more insulin. Taking glyburide at bedtime is recommended because it helps to ensure that the medication's peak action aligns with the natural rise in blood glucose levels in the early morning hours, which can help control fasting blood glucose levels. Additionally, taking glyburide in the evening reduces the risk of hypoglycemia during the day when the client may be more active and less likely to monitor blood glucose levels closely.

Question 2 of 5

Hemangiomas are the most common benign tumors of infancy, occurring more in full-term infants. Of the following, the most common risk factor of development of hemangioma is

Correct Answer: B

Rationale: Female infants are at higher risk for developing hemangiomas.

Question 3 of 5

Which blood gas analyses are most indicative of respiratory acidosis?

Correct Answer: A

Rationale: Respiratory acidosis is indicated by a low pH and elevated PCO2, as seen in option A.

Question 4 of 5

A client with HIV has been prescribed anti viral medications. What instructions related to administration of medications should the nurse give such a client?

Correct Answer: A

Rationale: The nurse should instruct the client to comply with the timing of antiviral medication around meals. Taking some antiviral medications with food can help reduce gastrointestinal side effects. Certain medications may be more effective when taken with food, while others may need to be taken on an empty stomach. It is essential for the client to follow the specific instructions given by their healthcare provider to ensure the optimal effectiveness of the antiviral medications.

Question 5 of 5

A school nurse is conducting vision and hearing testing on fifth-grade children. Which level of prevention is the nurse demonstrating?

Correct Answer: B

Rationale: The school nurse conducting vision and hearing testing on fifth-grade children is demonstrating the secondary level of prevention. Secondary prevention involves identifying and treating health conditions early to prevent their progression. In this scenario, the nurse's aim is to detect any existing vision or hearing problems in the children at an early stage so that appropriate interventions can be initiated to prevent further impairment or complications. This aligns with the goals of secondary prevention, which focuses on early detection, prompt intervention, and minimizing the impact of a health condition.

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