A patient with type 2 diabetes is taking an oral hypoglycemic agent. She complains of feeling "poorly" since she started taking a sulfonamide for a urinary tract infection. The nurse should take which of the following actions?
a. Have the patient come in immediately for re-evaluation.
b. Have the patient check her blood glucose level to see whether it is high.
c. Instruct the patient to check her blood glucose level to see whether it is low.
d. Advise the patient to add an extra snack just prior to bedtime.
C
The nurse should have the patient check her blood glucose level to see whether it is low, because the sulfonamide can intensity the effects of the oral hypoglycemic agent.
The patient does not need to come in immediately, because this is not a life-threatening emer-gency.
The nurse would not expect the blood glucose level to be high.
Adding an extra snack just before bedtime will only elevate the blood glucose level even more.
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