The nurse is administering sulfonylurea drugs to four different patients diagnosed with type 2 diabetes. Which patient should not receive the medication as ordered?

A 42-year-old man with hypertension

A 37-year-old man with a blood glucose level of 140

A 50-year-old woman with shingles

An 80-year-old woman with an allergy to sulfa

Answer and Explanation

The Correct Answer is D

A. Hypertension does not contraindicate the use of sulfonylureas.
B. A blood glucose level of 140 mg/dL is a common finding in type 2 diabetes, and sulfonylureas are used to control such levels.
C. Shingles (herpes zoster) does not directly contraindicate the use of sulfonylureas.
D. Sulfonylureas should not be given to patients with a sulfa allergy because these medications contain sulfa compounds, which could cause an allergic reaction.

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Correct Answer is D

Explanation

A. Taking a laxative yesterday is not directly relevant to the IVP procedure and does not typically pose a significant risk.
B. Not eating or drinking since the night before is expected for clients scheduled for an IVP due to the need for fasting prior to the procedure.
C. Reporting painful voiding may indicate a urinary tract issue, but it is not directly related to the IVP itself.
D. Taking metformin before breakfast is concerning because metformin should generally be withheld prior to IV contrast studies due to the risk of lactic acidosis, especially if renal function is compromised.

A. 2-hr blood glucose 132 mg/dL B. Fasting blood glucose 155 mg/dL C. Casual blood glucose 178 mg/dL D. HbA1c 5.2%

Correct Answer is B

Explanation

A. A 2-hour blood glucose of 132 mg/dL is within normal limits, as levels under 140 mg/dL are considered normal after an oral glucose tolerance test.
B. A fasting blood glucose level of 155 mg/dL is above the normal threshold (greater than 126 mg/dL indicates diabetes).
C. A casual blood glucose of 178 mg/dL suggests hyperglycemia but does not meet the diagnostic criteria for diabetes unless associated with symptoms.
D. An HbA1c of 5.2% is well within the normal range (below 5.7%).

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The nurse is administering sulfonylurea drugs to four different patients diagnosed with type 2 diabetes. Which patient should not receive the medication as ordered?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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