When teaching a client how to self-administer their new prescription for 10 units of NPH insulin and 3 units of regular insulin, what should the nurse include?

Choice A reason: This statement is false. The nurse does not need to assess the client's INR level, as INR stands for international normalized ratio, which is a test that measures the blood clotting time. Glipizide is an oral antidiabetic drug that lowers blood glucose levels by stimulating the release of insulin from the pancreas. It does not affect the blood clotting time or the INR level.

Choice B reason: This statement is false. The nurse does not need to assess the client's last bowel movement, as this is not relevant to the client's condition. Glipizide is an oral antidiabetic drug that lowers blood glucose levels by stimulating the release of insulin from the pancreas. It does not affect the bowel movements or the gastrointestinal function.

Choice C reason: This statement is true. The nurse's priority assessment is to check the client's blood glucose level, as the client may have hypoglycemia, which is a condition where the blood glucose level is too low. Hypoglycemia can cause confusion, sweating, and rapid heart rate, which are the symptoms that the client is experiencing. Hypoglycemia can be a serious and life-threatening complication of glipizide therapy, as it can lead to seizures, coma, or death if not treated promptly.

Choice D reason: This statement is false. The nurse does not need to assess the client's apical heart rate, as this is not the most urgent assessment. Glipizide is an oral antidiabetic drug that lowers blood glucose levels by stimulating the release of insulin from the pancreas. It can also lower the blood pressure and heart rate, but not to a dangerous level. However, the client's tachycardia may be a sign of hypoglycemia, which is a more critical condition that requires immediate intervention..

Choice A reason: This statement is true. The nurse should instruct the client to avoid getting up without assistance, as hydralazine can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. This can lead to dizziness, fainting, or falls.

Choice B reason: This statement is false. The nurse should not tell the client that upper arm pain is common with this medication, as hydralazine does not cause this side effect. Upper arm pain may be a sign of angina, which is chest pain caused by reduced blood flow to the heart. The nurse should advise the client to report any chest or arm pain to the prescriber.

Choice C reason: This statement is false. The nurse should not tell the client to not alter the medication with birth control, as hydralazine does not have a significant interaction with hormonal contraceptives. However, the nurse should advise the client to inform the prescriber if they are pregnant or planning to conceive, as hydralazine may have some effects on the fetus.

Choice D reason: This statement is false. The nurse should not tell the client to immediately report a dry cough, as hydralazine does not cause this side effect. A dry cough is more common with angiotensin-converting enzyme (ACE) inhibitors, which are another class of antihypertensive drugs.