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

Explanation

A. Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
B. Massaging the injection site is not recommended, as it can alter the absorption rate and lead to unpredictable blood glucose levels.
C. Insulin is absorbed most rapidly when injected into the abdomen, not the thigh.
D. Using cold insulin is not advised as it can cause more pain during the injection; room temperature insulin is typically more comfortable for injections.

A. Decreased calcium level B. Decreased parathyroid hormone level C. Increased phosphate level D. Increased magnesium level

Correct Answer is D

Explanation

A. Decreased calcium level is incorrect. Hyperparathyroidism leads to increased calcium levels (hypercalcemia) due to excessive parathyroid hormone (PTH), which increases calcium release from bones, absorption in the intestines, and reabsorption in the kidneys.

B. Decreased parathyroid hormone level is incorrect. In hyperparathyroidism, PTH levels are elevated, not decreased, due to excessive secretion by the parathyroid glands.

C. Increased phosphate level is incorrect. PTH causes renal phosphate excretion, leading to low or normal phosphate levels, rather than increased levels.

D. Increased magnesium level is correct. Parathyroid hormone increases magnesium reabsorption in the kidneys, leading to elevated magnesium levels in hyperparathyroidism.

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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 about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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