The physician prescribes glyburide (Micronase, DiaBeta, Glynase) for a patient, age 57, when diet and exercise have not been able to control her type 2 diabetes. Which information does the nurse include when teaching her about the glyburide?
a. Glyburide is a substitute for insulin and acts by directly stimulating glucose uptake into the cell.
b. Glyburide, like all oral hypoglycemic agents, does not cause the hypoglycemic reactions that may occur with insulin use.
c. Glyburide and other hypoglycemic agents are thought to stimulate insulin production and increase sensitivity to insulin at receptor sites.
d. Glyburide and other sulfonylureas lower blood sugar by inhibiting glucagon release from the liver, preventing gluconeogenesis.
C
Oral hypoglycemics are compounds that stimulate the beta cells in the pancreas to increase insulin release.
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A patient has had three gouty flare-ups in the past year. Which drug class will the nurse expect the provider to order for this patient?
a. Colchicine b. Glucocorticoids c. Nonsteroidal anti-inflammatory drugs d. Urate-lowering drugs
A 34-year old patient with chronic hepatitis C infection has several medications prescribed. Which medication requires further discussion with the health care provider before administration?
a. Ribavirin (Rebetol, Copegus) 600 mg PO bid
b. Pegylated ?-interferon (PEG-Intron, Pegasys) SQ daily
c. Diphenhydramine (Benadryl) 25 mg PO every 4 hours PRN itching
d. Dimenhydrinate (Dramamine) 50 mg PO every 6 hours PRN nausea
The nurse is assessing a patient with a meningioma. The nurse realizes that this patient will have:
1. A hearing disorder 2. A life expectancy of about 10 months 3. An excellent prognosis if the tumor is totally removed 4. Metastasis to other body organs