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 ["A","C","D"]

Explanation

A. Sweating is a classic sign of hypoglycemia due to the activation of the sympathetic nervous system in response to low blood glucose levels.
B. Polydipsia (excessive thirst) is a symptom of hyperglycemia, not hypoglycemia.
C. Tachycardia is a common symptom of hypoglycemia as the body responds to low glucose with increased adrenaline release.
D. Blurry vision can occur during hypoglycemia due to the effects of low glucose on the brain and eye function.
E. Polyuria (excessive urination) is associated with hyperglycemia, not hypoglycemia.

A. "Wear closed-toed shoes daily." B. "Plan to have an eye examination once per year." C. "Examine your feet carefully every day." D. "Maintain stable blood glucose levels."

Correct Answer is D

Explanation

A. Wearing closed-toed shoes daily is important for foot protection but does not address the root cause of diabetic complications.
B. Annual eye examinations are essential, but they are part of a broader strategy for monitoring and preventing complications rather than the most critical preventive measure.
C. Examining feet daily can help detect injuries or complications early, but it does not prevent the underlying issues associated with diabetes.
D. Maintaining stable blood glucose levels is the most important action because it directly impacts the risk of developing complications such as retinopathy and neuropathy. Good glycemic control helps prevent the progression of these conditions.

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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

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?

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