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.
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].
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because naloxone is an opioid antagonist that rapidly reverses an opioid overdose by attaching to opioid receptors and reversing and blocking the effects of other opioids.
It can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose.
Choice A is wrong because decreased nausea is not a therapeutic effect of naloxone.
Choice C is wrong because decreased blood pressure is not a therapeutic effect of naloxone.
Choice D is wrong because increased pain relief is not a therapeutic effect of naloxone.
Correct Answer is A
Explanation
Total parenteral nutrition (TPN) is a method of administration of essential nutrients to the body through a central vein.
TPN solutions are customized for each client’s needs, including the exact amount of calories and nutrients necessary for total nutritional needs.
Monitoring the client’s weight daily is important to determine if nutritional goals are being met and to assess fluid volume status.
Choice B is wrong because TPN solutions are concentrated and can cause thrombosis of peripheral veins, so they require a central venous catheter and should not be hung to gravity to infuse.
Choice C is wrong because TPN solution should not be titrated to blood pressure.
Choice D is wrong because the client’s blood glucose level should be monitored more frequently than weekly when receiving TPN.
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