A client has been taking glipizide for 6 months and reports to the nurse that their urine has become darker since starting the medication.
What should be the nurse’s initial action?

Review the results of liver function studies.

Instruct the client to increase their water intake.

Check the client’s weight.

Test a sample of urine for the presence of occult blood.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Dark urine can be a sign of liver dysfunction, which can be a side effect of glipizide. Therefore, reviewing the results of liver function studies would be an appropriate initial action to determine if the medication is affecting the client’s liver function.

Choice B rationale

While increasing water intake can sometimes help with certain side effects of medications, it would not address the potential issue of liver dysfunction indicated by the dark urine.

Choice C rationale

Checking the client’s weight would not provide information related to the cause of the dark urine.

Choice D rationale

Testing a sample of urine for the presence of occult blood could be useful if there was a suspicion of bleeding, but it would not address the potential issue of liver dysfunction indicated by the dark urine.

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Correct Answer is A

Explanation

Choice A rationale

Consuming excessive amounts of antacids, such as TUMS, can lead to metabolic alkalosis. Antacids contain bicarbonate, which can neutralize stomach acid. However, excessive bicarbonate in the body can disrupt the acid-base balance, leading to metabolic alkalosis.

Choice B rationale

Respiratory acidosis is typically caused by conditions that result in hypoventilation, such as lung diseases or drug overdose, not by excessive antacid consumption.

Choice C rationale

Metabolic acidosis is typically caused by conditions that increase acid in the body or decrease bicarbonate, such as kidney disease or lactic acidosis, not by excessive antacid consumption.

Choice D rationale

Respiratory alkalosis is typically caused by conditions that result in hyperventilation, such as anxiety or fever, not by excessive antacid consumption.

A. Elevate the feet for 30 minutes after walking. B. Avoid exercise that increases the heart rate. C. Continue walking to the point of pain. D. Do not walk if a leg ulcer develops.

Correct Answer is C

Explanation

Choice A rationale

Elevating the feet for 30 minutes after walking is not specifically beneficial for a patient with peripheral arterial disease (PAD). While elevation can help with conditions like edema, it does not directly address the issues associated with PAD12.

Choice B rationale

Avoiding exercise that increases the heart rate is not the best advice for a patient with PAD. Exercise, including activities that increase heart rate, can actually be beneficial. It can help improve circulation, which is often compromised in PAD12.

Choice C rationale

Continuing to walk to the point of pain is beneficial for patients with PAD. Walking, especially at a high intensity, can help improve symptoms of PAD. It can increase blood flow and oxygen supply to the muscles, which can help manage PAD symptoms.

Choice D rationale

While it’s important to care for any ulcers that develop and seek medical attention, stopping walking altogether if a leg ulcer develops is not necessary. Walking is a low-impact activity that can help improve mobility over time.

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A client has been taking glipizide for 6 months and reports to the nurse that their urine has become darker since starting the medication. What should be the nurse’s initial action?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a history of gastroesophageal reflux disease (GERD) consumes 15 TUMS antacid tablets daily. What risk does the nurse understand this patient is facing?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A patient diagnosed with peripheral arterial disease is being educated about the benefits of walking for exercise. What information should the nurse emphasize?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A client has been taking glipizide for 6 months and reports to the nurse that their urine has become darker since starting the medication.
What should be the nurse’s initial action?