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Glipizide Therapy Monitoring.

A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking glipizide.
Which of the following values indicates that the client is adhering to the treatment plan?

Positive urinary ketones.

HbA1c 6.8%.

Total cholesterol 225 mg/dL.

Creatinine 1.6 mg/dL.

Answer and Explanation

The Correct Answer is B

An HbA1c value of 6.8% indicates that the client is adhering to the treatment plan [B].

HbA1c is a measure of long-term blood glucose control and is used to monitor the effectiveness of diabetes treatment.

An HbA1c value of less than 7% is generally considered a good target for people with diabetes.

Choice A is wrong because positive urinary ketones can indicate poor diabetes control [A].

Choice C is wrong because a total cholesterol level of 225 mg/dL is considered high and does not indicate adherence to the treatment plan [C].

Choice D is wrong because a creatinine level of.0 mg/dL is within the normal range but does not specifically indicate adherence to glipizide therapy [D].

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Correct Answer is D

Explanation

Combining furosemide with certain aminoglycoside antibiotics like amikacin may increase the risk of hearing loss.

The nurse should monitor this client for hearing loss related to a medication interaction.

Choice A is wrong because there is no known interaction between losartan and atorvastatin that can cause hearing loss.

Choice B is wrong because there is no known interaction between propranolol and raloxifene that can cause hearing loss.

Choice C is wrong because there is no known interaction between digoxin and levothyroxine that can cause hearing loss.

A. 0.5 mL. B. 0.600 mL. C. 0.6 mL. D. 0.8 mL.

Correct Answer is C

Explanation

First, convert the client’s weight from pounds to kilograms: 121 lb /.2 = 55 kg. Then, calculate the dose in mg: 1 mg/kg * 55 kg = 55 mg.

Finally, use the ratio of available enoxaparin to calculate the volume to administer: (55 mg / 60 mg) * 0.6 mL = 0.55 mL.

Rounded to the nearest tenth, this is 0.6 mL.

Choice A is wrong because it is less than the calculated dose of 0.6 mL.

Choice B is wrong because it is equal to the calculated dose of 0.6 mL but not rounded to the nearest tenth.

Choice D is wrong because it is greater than the calculated dose of 0.6 mL.

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Glipizide Therapy Monitoring. A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking glipizide. Which of the following values indicates that the client is adhering to the treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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Glipizide Therapy Monitoring.

A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking glipizide.
Which of the following values indicates that the client is adhering to the treatment plan?