A client has been prescribed acarbose. Which of the following interventions should the nurse perform to promote an optimal response to the medication?
A) Administer the drug with breakfast.
B) Expect to add an oral sulfonylurea with the drug.
C) Administer the drug with the first bite of the meal.
D) Report unusual somnolence to the primary health care provider.
Ans: C
Feedback:
The nurse should administer acarbose to the client with the first bite of the meal. The nurse needs to administer glyburide (Micronase) with breakfast. An oral sulfonylurea will likely be added to metformin if the client does not experience a response in 4 weeks using the maximum dose of metformin. Clients taking metformin may experience unusual somnolence, of which the nurse should inform the primary health care provider.
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