A nurse is caring for a client who is diagnosed with diabetes mellitus type 2. The client received insulin via the subcutaneous (SQ) route, which was given by the primary nurse and verified with a secondary nurse. One hour after administration, the client was not able to follow commands with a blood glucose reading of 30 mg/dL. The nurse should expect an order for which of the following medications?
Metformin (Glucophage)
Glucagon (GlucaGen)
Glipizide (Glucotrol)
Insulin
The Correct Answer is B
A. Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B. Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C. Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D. Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Alendronate should be taken on an empty stomach with a full glass of water, at least 30 minutes before any food or other medications. This ensures better absorption.
B. Alendronate should not be taken with antacids, as they can interfere with its absorption. The patient should not lie down immediately after taking it to prevent esophageal irritation.
C. This is the correct recommendation. Alendronate should be taken in the morning, on an empty stomach, with a full glass of water. The patient should then remain upright for at least 30 minutes.
D. Alendronate tablets should be swallowed whole. Crushing or chewing the tablet may increase the risk of esophageal irritation and reduce its effectiveness.
Correct Answer is D
Explanation
A. Hydrochlorothiazide does not typically cause increased swelling of the ankles. It is a diuretic and helps reduce fluid retention.
B. Fluid intake should not be restricted unless specifically indicated. Diuretics like hydrochlorothiazide increase urine output, and adequate fluid intake is generally encouraged to prevent dehydration.
C. Taking hydrochlorothiazide at bedtime is not recommended due to the increased urination, which may disrupt sleep.
D. Taking this medication with food can help prevent gastrointestinal upset, which is a common side effect of hydrochlorothiazide.
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