A nurse is caring for a client who is newly prescribed with glipizide (Glucotrol) for Type 2 Diabetes. The client is not sure about the possible complications of this medication. Complete the sentence with the appropriate responses.
The nurse understands that complications of glipizide (Glucotrol) include
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
Weight gain: Glipizide, like other sulfonylureas, can cause weight gain as it stimulates insulin secretion, which can lead to increased fat storage.
Hypoglycemia: One of the most common and serious side effects of glipizide is hypoglycemia, as it increases insulin levels, which can lower blood sugar too much
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Correct Answer is D
Explanation
A. Ondansetron agonizes serotonin receptors on afferent vagal neurons. – This is incorrect. Ondansetron works by blocking, not activating, serotonin (5-HT3) receptors in areas involved in nausea and vomiting.
B. Ondansetron agonizes serotonin receptors in the medulla oblongata. – This is incorrect. Ondansetron does not act as an agonist at serotonin receptors in the medulla oblongata; instead, it antagonizes receptors to reduce nausea.
C. Ondansetron agonizes dopaminergic receptors in the vestibular apparatus. – This is incorrect. Ondansetron does not affect dopaminergic receptors or the vestibular apparatus. Medications like promethazine address dopaminergic pathways.
D. Ondansetron blocks serotonin receptors in the chemoreceptor trigger zone. – This is correct. Ondansetron acts as a 5-HT3 receptor antagonist, blocking serotonin receptors in the chemoreceptor trigger zone and vagal nerve terminals, effectively preventing nausea and vomiting.
Correct Answer is ["A","B"]
Explanation
A. Taking an oral hypoglycemic agent is inappropriate in this situation. Oral agents are typically used for long-term management of type 2 diabetes and would not help in an acute hypoglycemic episode.
B. Self-administering a long-acting insulin would further lower blood glucose levels and exacerbate the hypoglycemic symptoms, making this an unsafe action.
C. Checking her blood glucose level is an appropriate first step to confirm the suspected hypoglycemia and determine the severity.
D. Drinking 4 ounces of orange juice is a correct intervention, as it provides a quick source of glucose to raise the blood sugar level and alleviate symptoms.
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