The nurse has been teaching a patient with type 2 diabetes about managing blood glucose levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?
a. "If I overeat at a meal, I will still take the usual dose of medication."
b. "Other medications besides the Glucotrol may affect my blood sugar."
c. "When I am ill, I may have to take insulin to control my blood sugar."
d. "My diabetes won't cause complications because I don't need insulin."
ANS: D
The patient should understand that type 2 diabetes places the patient at risk for many complications and that good glucose control is as important when taking oral agents as when using insulin. The other statements are accurate and indicate good understanding of the use of glipizide.
You might also like to view...
A nurse assesses a client who is being treated for hyperglycemic-hyperosmolar state (HHS). Which clinical manifestation indicates to the nurse that the therapy needs to be adjusted?
a. Serum potassium level has increased. b. Blood osmolarity has decreased. c. Glasgow Coma Scale score is unchanged. d. Urine remains negative for ketone bodies.
Who is most likely to become the abuser of an elderly person?
1. The person's paid caregiver 2. The individual's adult child 3. The person's neighbor 4. Someone previously unknown to the person
A patient with a non-ACTH-producing adrenal cortex tumor is scheduled for a surgical procedure to remove the tumor. Which statement by the patient indicates that teaching about the procedure has been effective?
1. "The adrenal gland with the tumor will be removed." 2. "I will need to take adrenal hormones for the rest of my life." 3. "The tumor will be removed by the transsphenoidal route." 4. "I will receive IV cortisol in preparation for the surgery."
What federal act requires that all states provide appropriate education at no cost and in the least- restrictive environment to children with handicaps?
a. Handicapped Persons Environmental Act b. Individuals with Disabilities Education Act (IDEA) c. Children's Educational Act (CEA) d. Handicapped Children's Act