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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) Insulin glargine is a long-acting basal insulin and is not typically administered before each meal.
b) Administering insulin glargine after meals is not the standard practice. It is given once daily to provide a continuous basal insulin level.
c) Insulin glargine is a once-daily basal insulin that is usually administered at the same time every day to maintain a consistent level of insulin in the body.
d) Unlike short-acting insulins, insulin glargine is not given with meals but provides a basal level of insulin throughout the day.
Correct Answer is C
Explanation
a) Taking digoxin at bedtime is not a critical instruction. The important aspect is to take it consistently at the same time each day.
b) A diet high in bran, fiber, and calcium is not specifically related to digoxin administration. Digoxin has specific dietary considerations related to potassium levels.
c) Checking the pulse is crucial for a client taking digoxin, as it helps monitor for potential toxicity. Digoxin can cause bradycardia, and the pulse rate is an essential parameter to assess before administering each dose.
d) While monitoring the heart rate is important, setting a specific threshold (e.g., not taking digoxin if the heart rate exceeds 90 beats per minute) is not a standard recommendation. It's generally more nuanced and individualized.
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