A patient has type 2 diabetes that has been well controlled by a sulfonylurea. However, recently the patient has been experiencing repeated hypoglycemic reactions. The nurse should assess the patient for
a. infection.
b. concomitant use of nonsteroidal anti-inflammatory agents.
c. increased emotional stress.
d. reduced physical activity level.
ANS: B
A variety of drugs, such as NSAIDs, can intensify hypoglycemic responses to most sulfonylureas and therefore should be avoided by patients taking sulfonylureas.
Use of a sulfonylurea does not predispose patients to infection or increased emotional stress or cause them to reduce their physical activity level.
You might also like to view...
A patient has been started on dantrolene (Dantrium). What is the most serious adverse effect about which the patient should be instructed?
A) Metabolic acidosis B) Hypercarbia C) Renal calculi D) Hepatitis
A male client with schizophrenia lives in an assisted-living complex for individuals with mental health disorders
He is tired of the Parkinson-like symptoms he experiences with his antipsychotic medication and therefore stops taking his medication after much discussion with his treatment team. He is progressively withdrawing from reality but is not a safety risk at this point to himself or others. What is the best response of the nurse and treatment team? a. Try to coerce him into taking his medication. b. Ensure that the client and those around him are safe, and monitor for additional symptoms of his schizophrenia while maintaining trust with the client. c. Crush his antipsychotic medications and put them in his food to stop the process of his withdrawal from reality. d. Speak to his family about seeking an involuntary emergency hold in a mental health facility to get him back on his medications.
In preparing the patient admitted with benign prostatic hyperplasia for a lower urinary tract cystoscopic examination, the nurse informs him that the most common temporary complication experienced after this procedure is:
A) Urine retention B) High rate of bladder perforation C) Hemorrhage D) Nausea
Which complication is associated with gastric resection surgery?
a. Constipation b. Acid reflux gastritis c. Anemia d. Hiccups