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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Free Nursing Study Resources

Correct Answer is A

Explanation

A) The nurse should hold the administration of oral metoprolol 25 mg if the blood pressure of the patient is 92/44 mmHg, as this indicates hypotension, which can be worsened by the beta blocker effect of metoprolol.

B) A respiratory rate of 26 breaths per minute is within the acceptable range for administering metoprolol.

C) A heart rate of 92 beats per minute is within the acceptable range for administering metoprolol.

D) Holding the administration of metoprolol may be appropriate if the oxygen saturation level is low. Metoprolol is primarily used for heart rate and blood pressure control and may not be the immediate concern in a client with low oxygen saturation. The healthcare provider should be consulted for further guidance.

A. Temperature of 101.2 degrees Fahrenheit B. Blood pressure of 144/68 mm Hg C. Glucose 128 mg/dl D. Heart rate of 102 beats per minute

Correct Answer is A

Explanation

a) An elevated temperature could indicate an infection, which is a serious concern in a client taking steroids, as steroids can suppress the immune system. This finding should be reported immediately.

b) Blood pressure within this range is generally acceptable and may not be a cause for immediate concern.

c) A glucose level of 128 mg/dl is within a reasonable range and may not require immediate reporting unless there are other concerning factors.

d) A heart rate of 102 beats per minute is generally within an acceptable range and may not be an immediate cause for concern in the absence of other symptoms.

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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

Which of these findings would cause the nurse to hold the administration of oral metoprolol 25 mg?

Correct Answer is A

Explanation

Which of these findings, from a client taking steroids, should the nurse report immediately?

Correct Answer is A

Explanation

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