A client with type 2 diabetes mellitus is managed with glimepiride. The primary healthcare provider (HCP) adds a new prescription for injectable exenatide. Which information is most important for the nurse to teach this client?

Notify the healthcare provider if anorexia occurs.

Consume additional sources of potassium.

Watch for signs of jitteriness or diaphoresis.

Administer subcutaneously after meals.

Answer and Explanation

The Correct Answer is C

A. Notify the healthcare provider if anorexia occurs: Anorexia can be a side effect of exenatide, but it is generally mild and often transient. While persistent or severe anorexia should be reported, it is not the most immediate or dangerous concern compared to the risk of hypoglycemia when combining exenatide with a sulfonylurea like glimepiride.

B. Consume additional sources of potassium: Exenatide is not known to cause significant potassium depletion. Hypokalemia is not a common complication with either exenatide or glimepiride therapy, so there is no specific need to focus on increasing potassium intake.

C. Watch for signs of jitteriness or diaphoresis: Combining exenatide with glimepiride significantly increases the risk of hypoglycemia. Symptoms like jitteriness, diaphoresis, shakiness, and confusion are hallmark signs of low blood sugar, making it crucial to educate the client to recognize and manage hypoglycemia promptly.

D. Administer subcutaneously after meals: Exenatide should be administered subcutaneously, but it must be given before meals, typically within 60 minutes prior to eating. Administering it after meals would decrease its effectiveness in controlling postprandial blood glucose spikes.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Discard the medication if the solution is cloudy: Somatropin should be clear and colorless before administration. Cloudiness can indicate contamination or degradation of the medication, and clients must be taught to discard any vials that appear cloudy to prevent complications.

B. Store unused vials at room temperature: Somatropin must be stored in the refrigerator to maintain its stability and effectiveness. Storing it at room temperature can lead to degradation of the medication, reducing its potency and increasing the risk of treatment failure.

C. Administer the medication subcutaneously: Somatropin is typically administered via subcutaneous injection, which provides steady absorption. Teaching the correct route of administration is crucial for effective therapy and safe use.

D. Rotate injection sites to minimize discomfort: Rotating injection sites is essential to prevent lipodystrophy, which is the breakdown or buildup of fat tissue under the skin, and to reduce local irritation or pain at the injection site.

A. Hyperglycemia B. Dehydration C. Dry mouth D. Oral candidiasis E. Hypoxia F. Adrenal suppression G. Hyperkalemia

Correct Answer is ["C","D","F"]

Explanation

A. Hyperglycemia: While systemic corticosteroids can cause hyperglycemia, inhaled corticosteroids like fluticasone have minimal systemic absorption and rarely lead to significant blood sugar elevations unless used at very high doses over a long time.

B. Dehydration: Dehydration is not a known side effect of fluticasone. This medication acts locally in the respiratory tract and does not impact overall fluid balance significantly.

C. Dry mouth: Inhaled corticosteroids like fluticasone can cause dry mouth or throat irritation due to reduced salivary flow and local mucosal dryness. Clients should be instructed to rinse their mouth after use to minimize discomfort.

D. Oral candidiasis: Oral candidiasis (thrush) is a common side effect of inhaled corticosteroids because the steroid can suppress local immune responses, allowing fungal overgrowth in the mouth. Rinsing the mouth after each inhalation helps prevent this complication.

E. Hypoxia: Fluticasone improves airway inflammation and reduces the risk of hypoxia by enhancing lung function. It does not cause or worsen hypoxia as a side effect.

F. Adrenal suppression: Although rare with low-dose inhaled steroids, adrenal suppression can occur with long-term, high-dose use due to absorption of corticosteroids into the bloodstream. Monitoring and using the lowest effective dose help minimize this risk.

G. Hyperkalemia: Fluticasone does not significantly affect potassium levels. Hyperkalemia is not a recognized side effect of inhaled corticosteroids.

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A client with type 2 diabetes mellitus is managed with glimepiride. The primary healthcare provider (HCP) adds a new prescription for injectable exenatide. Which information is most important for the nurse to teach this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?

Correct Answer is B

Explanation

Patient Data Which possible side effects of fluticasone should the nurse advise the client about? Select all that apply.

Correct Answer is ["C","D","F"]

Explanation

Patient Data Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

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