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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Regular insulin – This is incorrect. Regular insulin would exacerbate hypoglycemia since it lowers blood glucose levels. Administering insulin in this scenario would worsen the client's condition.
B. Diphenhydramine (Benadryl) – This is incorrect. Diphenhydramine is an antihistamine and has no role in treating hypoglycemia or insulin toxicity.
C. Metformin (Glucophage) – This is incorrect. Metformin is an oral hypoglycemic agent and is not suitable for immediate treatment of insulin-induced hypoglycemia.
D. Glucagon (GlucaGen) – This is correct. Glucagon raises blood glucose by promoting glycogen breakdown in the liver and is the treatment of choice for severe hypoglycemia in clients unable to swallow or follow commands.
Correct Answer is A
Explanation
A. "I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time." – This is correct. Taking aluminum hydroxide and cimetidine simultaneously reduces the effectiveness of cimetidine by impairing its absorption. This statement indicates a need for further teaching.
B. "I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)." – This is incorrect. Taking aluminum hydroxide 1 hour before cimetidine allows enough time for the antacid's effects on stomach acidity to stabilize, reducing interference.
C. "I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)." – This is incorrect. Taking the antacid 2 hours before cimetidine provides sufficient time for proper absorption of the medication.
D. None of the above – This is incorrect because statement A reflects improper administration.
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