The nurse is teaching a client who has been prescribed sitagliptin (Januvia) for type 2 diabetes. Which statement by the client indicates a need for further teaching?

“This medication helps lower my blood sugar by increasing insulin release."

"I need to keep monitoring my blood sugar regularly while on this medication."

"I will call my provider if I develop severe abdominal pain that doesn't go away."

"If I feel nauseated or vomit after taking this drug, I should just wait and see if it gets better."

Answer and Explanation

The Correct Answer is D

A. “This medication helps lower my blood sugar by increasing insulin release.": Sitagliptin (Januvia) works by increasing insulin release and decreasing glucagon levels when blood glucose is elevated, helping to lower blood sugar.

B. "I need to keep monitoring my blood sugar regularly while on this medication.": Regular monitoring of blood glucose levels is important to ensure the medication is working effectively and to detect any changes in blood sugar.

C. "I will call my provider if I develop severe abdominal pain that doesn't go away.": Severe abdominal pain can be a sign of a serious side effect such as pancreatitis, and the client should contact their healthcare provider immediately if this occurs.

D. "If I feel nauseated or vomit after taking this drug, I should just wait and see if it gets better.": Nausea and vomiting can be side effects of sitagliptin. If the client experiences these symptoms, they should not simply wait, but instead contact their provider for further guidance, as these symptoms may require adjustments to the treatment plan.

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Correct Answer is A

Explanation

A. The patient is demonstrating improved control of hyperglycemia over the last several months: The HbA1c level reflects the average blood glucose level over the past 2-3 months. A drop from 9.4% to 5.4% indicates a significant improvement in blood sugar control.

B. The patient has less need for insulin: A drop in HbA1c indicates improved blood sugar control, but it doesn't directly indicate that the patient has reduced insulin needs. Insulin requirements can still vary depending on the individual’s treatment plan and overall health.

C. The patient is experiencing a reduction in insulin sensitivity: Improved control of hyperglycemia (as evidenced by the drop in HbA1c) suggests better insulin sensitivity, not a reduction. Insulin sensitivity typically improves with better glucose control.

D. The patient has been less compliant with the prescribed treatment regimen: A lower HbA1c suggests better compliance with treatment; usually indicates successful management of blood glucose levels, which often results from adhering to the prescribed regimen.

A. eat a high-protein diet B. lose weight C. take insulin D. take more metformin (Glucophage)

Correct Answer is B

Explanation

A. Eat a high-protein diet: A high-protein diet is not specifically recommended for improving blood glucose control in type 2 diabetes. A balanced diet with a focus on carbohydrates, fiber, and portion control is more effective for long-term management.

B. Lose weight: Weight loss is one of the most effective ways to improve blood sugar control in type 2 diabetes. It reduces insulin resistance, enhances insulin sensitivity, and leads to better overall glucose management.

C. Take insulin: Insulin is typically not the first treatment for type 2 diabetes, especially in individuals who are overweight. Lifestyle changes, including diet and exercise, are generally prioritized before moving to insulin therapy.

D. Take more metformin (Glucophage): While metformin is an important medication, weight loss through lifestyle modifications often has a more significant and lasting impact on blood sugar control than simply increasing the dosage of medication.

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The nurse is teaching a client who has been prescribed sitagliptin (Januvia) for type 2 diabetes. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that the HbA1c level of an assigned patient demonstrated a drop from 9.4% to 5.4%. What inference can best be made about this patient?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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