Three hours after self-administering regular insulin subcutaneously, the client contacts you at the provider's office by telephone to report that she is shaking, sweating, and has a rapid pulse. Which of the following actions should you NOT advise her to take? (Select All That Apply.)
Take an oral hypoglycemic agent.
Self-administer a long-acting insulin.
Check her blood glucose level.
Drink 4 ounces of orange juice.
Correct Answer : A,B
A. Taking an oral hypoglycemic agent is inappropriate in this situation. Oral agents are typically used for long-term management of type 2 diabetes and would not help in an acute hypoglycemic episode.
B. Self-administering a long-acting insulin would further lower blood glucose levels and exacerbate the hypoglycemic symptoms, making this an unsafe action.
C. Checking her blood glucose level is an appropriate first step to confirm the suspected hypoglycemia and determine the severity.
D. Drinking 4 ounces of orange juice is a correct intervention, as it provides a quick source of glucose to raise the blood sugar level and alleviate symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
Explanation
Weight gain: Glipizide, like other sulfonylureas, can cause weight gain as it stimulates insulin secretion, which can lead to increased fat storage.
Hypoglycemia: One of the most common and serious side effects of glipizide is hypoglycemia, as it increases insulin levels, which can lower blood sugar too much
Correct Answer is D
Explanation
A. "This medication may cause increased libido." This is incorrect. Cimetidine (Tagamet) can cause side effects such as decreased libido, especially in men. This occurs because the drug inhibits the action of certain hormones, leading to sexual dysfunction.
B. "You may take this medication with antacids to prevent stomach upset." This is incorrect. Cimetidine should not be taken with antacids because antacids can reduce its absorption and effectiveness. It is advised to space the administration of cimetidine and antacids by at least 1 hour.
C. "This medication will neutralize your stomach acid." This is incorrect. Cimetidine works by blocking histamine receptors (H2 receptors), which reduces the production of stomach acid but does not neutralize it.
D. "This medication may cause decreased libido." This is correct. One of the side effects of cimetidine is reduced libido, particularly in male clients, due to its anti-androgenic effects.
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