A client who has type 2 diabetes begins taking glipizide. Which statement by the client indicates a need for further education?

"I will need to check my blood sugar once daily or more."

"I should not take this medication if I have a sulfa allergy."

"I will begin by taking this once daily with breakfast."

"I may continue to have a glass of wine with dinner."

Answer and Explanation

The Correct Answer is B

a) Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.

b) Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.

c) Taking glipizide once daily with breakfast is a reasonable dosing schedule.

d) Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.

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Correct Answer is C

Explanation

a) Requesting central venous access is not the first-line response to signs of redness, pain, and irritation at the current infusion site. It's essential to address the immediate issue first.

b) Continuing the infusion while elevating the arm may exacerbate the symptoms and is not an appropriate action when there are signs of localized irritation.

c) Stopping the infusion and selecting an alternate intravenous site is the correct action to prevent further complications and assess the cause of the irritation.

d) Applying warm packs and infusing the medication at a slower rate may not be sufficient to address the observed redness and pain, and an alternate site should be considered.

A. "Cough medicine tastes bad, and infants usually won't take it." B. "Infants are more susceptible to central nervous system effects than adults are." C. "Babies have a more rapid gastric emptying time and don't absorb drugs well." D. "Infants metabolize drugs too rapidly, so drugs aren't as effective."

Correct Answer is B

Explanation

a) The taste of cough medicine is not the primary concern for not recommending it to infants. The key issue lies in potential adverse effects, especially on the central nervous system. b) Infants have an immature central nervous system and are more susceptible to the sedative effects of medications. This is a critical factor in avoiding medications with sedative side effects in infants.

c) Gastric emptying time and drug absorption are generally faster in infants, making them more susceptible to rapid drug effects rather than less. However, the central nervous system effects are of greater concern.

d) Infants may metabolize drugs differently, but this does not necessarily mean the drugs are less effective. The primary concern is the potential for increased susceptibility to adverse effects.

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A client who has type 2 diabetes begins taking glipizide. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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