Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide?

Glyburide decreases glucagon secretion from the pancreas.

Glyburide should be taken even if the morning blood glucose level is low.

Glyburide should not be used for 48 hours after receiving IV contrast media.

Glyburide stimulates insulin production and release from the pancreas.

Answer and Explanation

The Correct Answer is D

Therefore, the correct option is d. Glyburide is a sulfonylurea medication used to treat type 2 diabetes. It works by stimulating the beta cells in the pancreas to produce and release more insulin, which helps to lower blood glucose levels.

Option A is incorrect because glyburide does not aﬀect glucagon secretion from the pancreas. Glucagon is a hormone that raises blood glucose levels by promoting the breakdown of glycogen in the liver.

Option b is incorrect because glyburide should not be taken if the morning blood glucose level is less than 70 mg/dL, as this may increase the risk of hypoglycemia.

Option c is incorrect because glyburide does not interact with IV contrast media. However, some types of IV contrast media can cause kidney damage in patients with diabetes, and the use of glyburide should be temporarily discontinued if a patient is undergoing a procedure that involves the use of contrast media.

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Correct Answer is D

Explanation

When performing a self-monitoring blood glucose test, it is essential to choose the puncture site on the side of the fingertip, slightly oﬀ-center, and to rotate the puncture sites to prevent lipoatrophy and injury to the nerves and blood vessels in the finger. Puncturing the center of the fingertip can lead to pain, injury to the nerves, and tissue damage.

Options a, b, and c are correct and indicate appropriate actions during self-monitoring of blood glucose. Washing the puncture site using warm water and soap helps to reduce the risk of infection. Waiting for a minute with the arm down before puncturing the site helps to increase blood ﬂow and make it easier to obtain a blood sample. A blood glucose result of 120 mg/dL indicates good blood sugar control within the target range for many patients with diabetes.

A. use of a portable blood glucose monitor. B. Hypoglycemia prevention, symptoms. and treatment. C. Insulin administration. D. Elimination of sugar from the diet.

Correct Answer is ["A","B","C","D"]

Explanation

Use of a portable blood glucose monitor: The patient should be taught how to use a portable blood glucose monitor to check their blood glucose levels at home. This will help the patient monitor their blood glucose levels and adjust their insulin dose as necessary.

Hypoglycemia prevention, symptoms, and treatment: The patient should be taught about the signs and symptoms of hypoglycemia (low blood glucose levels) and how to treat it. This includes teaching the patient to consume 15-20 grams of fast-acting carbohydrates such as glucose tablets or juice when experiencing hypoglycemia.

Insulin administration: The patient should be taught how to administer insulin, including the timing of injections and rotating injection sites. The patient should also be educated about the importance of taking insulin regularly and the potential consequences of missed doses.

Diet: The patient should be educated about healthy eating habits that include monitoring carbohydrate intake, eating regular meals, and spacing carbohydrates throughout the day. The patient does not need to eliminate sugar entirely from their diet, but rather to consume it in moderation and balance it with other food groups.

Physical activity: The patient should be encouraged to engage in regular physical activity but may need to adjust their insulin dose or carbohydrate intake to accommodate for the changes in blood glucose levels that may result from physical activity. Reducing physical activity is not necessary, but rather adjusting to it properly with proper monitoring of glucose levels.

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Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide?

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Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide?