A client with type 2 diabetes mellitus is starting glipizide (Glucotrol) and metformin (Glucophage). Prior to giving the medication to the client, the nurse should assess for:
1. history of cardiac disease.
2. allergy to sulfonamides.
3. history of renal failure.
4. lesions on the lower limbs.
Answer: 2
1. Since diabetes mellitus predisposes the client to cardiac issues due to high blood sugar and cholesterol, Glucotrol will decrease the risk. Glucotrol does not cause cardiac issues.
2. Glucotrol is a sulfonylurea and cannot be taken if the client has an allergy to sulfonamides.
3. A client with diabetes mellitus of any type is at risk for renal failure, and by controlling blood sugar, will help control the risk of renal failure.
4. Lesions on the lower limbs that do not heal are due to high blood sugar, which Glucotrol will help control.
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