A patient who has insulin-dependent type 2 diabetes reports having difficulty keeping blood glucose within normal limits and has had multiple episodes of both hypoglycemia and hyperglycemia
As adjunct therapy to manage this problem, the primary care NP should prescribe: a. pramlintide (Symlin).
b. repaglinide (Prandin).
c. glyburide (Micronase).
d. metformin (Glucophage).
A
Pramlintide is indicated in patients with type 1 diabetes and insulin-dependent type 2 diabetes and is helpful for patients with wide glycemic swings. Repaglinide requires a functioning pancreas to be effective. Glyburide and metformin are first-line oral agents and are not indicated.
You might also like to view...
A nurse provides teaching for a woman who will begin taking supplemental calcium. Which statement by the woman indicates understanding of the teaching?
a. "Chewable calcium tablets are not ab-sorbed well and are not recommended." b. "I should not take more than 600 mg of calcium at one time." c. "I should take enough supplemental cal-cium to provide my total daily require-ments." d. "If I take calcium with green, leafy vege-tables, it will increase absorption."
A home care nurse was working with a 73-year-old woman who lives alone. What would be the most therapeutic intervention by the nurse?
a. Complimenting the client on her cooking and superb housekeeping skills b. Conveying to the client the importance of planning and prepaying her funeral c. Encouraging her in her hobbies of scrapbooking and writing her autobiography d. Suggesting that the client consider buying long-term care insurance for future need
The nurse is preparing to assess a client with multiple sclerosis. Which assessment finding should the nurse anticipate?
A. Skeletal muscle atrophy B. Tremors C. Visual disturbances D. Muscle rigidity
A parent brings a 5-year-old child to a clinic for a hospital follow-up appointment. The child is taking a medication at a dose equal to an adult dose. The parent reports that the medication is not producing the desired effects. The NP should:
a. order renal function tests. b. prescribe another medication to treat this child's symptoms. c. discontinue the drug and observe the child for toxic side effects. d. obtain a serum drug level and consider increasing the drug dose.