What would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic?
a. No change in the antidiabetic regimen
b. Decreased need for antidiabetic medication
c. Increased blood sugar levels
d. Less frequent monitoring of blood sugar level
ANS: C
The thiazides may induce hyperglycemia and aggravate cases of preexisting diabetes mellitus. Regular assessment for glycosuria is indicated. Dosages of oral hypoglycemics and insulin may need adjustment in patients with diabetes mellitus. Thiazides affect glucose metabolism, and the patient should change her regimen to accommodate this. Thiazides have the opposite effect on glucose metabolism. More frequent monitoring is warranted when the patient is being treated with thiazide diuretics.
You might also like to view...
A patient with a history of myocardial infarction has developed constipation. Which of the fol-lowing laxatives would be most appropriate for this patient?
a. Sodium phosphate (Fleet Phospho-Soda) b. Bisacodyl (Dulcolax) c. Docusate sodium (Colace) d. Magnesium citrate (Citrate of Magnesia)
A woman is in premature labor. Lecithin-sphingomyelin (L/S) levels are being drawn. Which level would the nurse interpret as indicating lung maturity?
1. A level over 400 2. A ratio of 1:2 3. A level under 200 4. A ratio of 2:1
The nurse is assessing the inguinal area on a male patient and notes a bulge. Which conclusions by the nurse are appropriate? Select all that apply
1) The patient may have a hernia. 2) The patient may have a hydrocele. 3) The patient may have an enlarged lymph node. 4) The patient may be impotent. 5) The patient may be infertile.
A new nursing graduate is experiencing anxiety in the days leading up to the licensing examination. Which of the following types of anxiety has the potential to improve functioning?
A) Mild B) Moderate C) Severe D) Pathologic