The nurse is providing discharge teaching to a client prescribed ertugliflozin (Steglatro). Which instruction would be included?
"Limit your fluid intake to reduce urinary frequency."
"This medication can cause high blood pressure."
"Report any signs of genital itching or discharge to your healthcare provider."
"Expect some swelling and fluid retention."
The Correct Answer is C
Rationale:
A. Ertugliflozin is an SGLT2 inhibitor, which increases glucose excretion in the urine and naturally increases urinary output (polyuria). Fluid restriction is not recommended, as it can worsen dehydration, hypotension, or electrolyte imbalance. Adequate hydration is important.
B. Ertugliflozin typically causes mild reductions in blood pressure due to osmotic diuresis and natriuresis. Hypertension is not a common adverse effect.
C. SGLT2 inhibitors increase urinary glucose excretion, which creates an environment conducive to genital fungal infections (candidiasis). Patients should be taught to: Monitor for itching, discharge, redness, or discomfort, report symptoms promptly and practice good hygiene to help prevent infections
D. SGLT2 inhibitors may actually cause mild diuresis and volume loss, not fluid retention. Swelling or edema is not expected and should be evaluated if it occurs, as it may indicate another condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. While the grilled cheese is soft, the apple slices require significant chewing, increasing the risk of choking or aspiration. Patients with Parkinson’s disease often have oropharyngeal dysphagia, making hard, crunchy foods unsafe.
B. Tacos, especially with a shell or tortilla, require complex chewing and strong jaw coordination. Even soft tortillas can be difficult to manage for someone with impaired chewing and swallowing. Refried beans are soft, but the taco itself makes the meal inappropriate.
C. Both scrambled eggs and cottage cheese are soft, high-protein, easy-to-chew and easy-to-swallow foods, making them ideal for patients with dysphagia related to Parkinson’s disease. Soft, moist foods reduce aspiration risk and promote adequate nutrition in patients with impaired chewing, tongue control, and slowed swallowing reflex.
D. Baked chicken is often dry and difficult to chew, and bacon is tough or crispy, both of which significantly increase aspiration risk. These foods require effective mastication, which is impaired in Parkinson’s disease.
Correct Answer is C
Explanation
Rationale:
A. Ertugliflozin is an SGLT2 inhibitor, which increases glucose excretion in the urine and naturally increases urinary output (polyuria). Fluid restriction is not recommended, as it can worsen dehydration, hypotension, or electrolyte imbalance. Adequate hydration is important.
B. Ertugliflozin typically causes mild reductions in blood pressure due to osmotic diuresis and natriuresis. Hypertension is not a common adverse effect.
C. SGLT2 inhibitors increase urinary glucose excretion, which creates an environment conducive to genital fungal infections (candidiasis). Patients should be taught to: Monitor for itching, discharge, redness, or discomfort, report symptoms promptly and practice good hygiene to help prevent infections
D. SGLT2 inhibitors may actually cause mild diuresis and volume loss, not fluid retention. Swelling or edema is not expected and should be evaluated if it occurs, as it may indicate another condition.
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