A patient with type 2 diabetes mellitus takes metformin (Glucophage) 1000 mg twice daily and glyburide (Micronase) 12 mg daily. At an annual physical examination, the BMI is 29 and hemoglobin A1c is 7.3%. The NP should:
a. begin insulin therapy.
b. change to therapy with colesevelam (Welchol).
c. add a third oral antidiabetic agent to this patient's drug regimen.
d. enroll the patient in a weight loss program to achieve better glycemic control.
A
The target hemoglobin A1c goal for adults is less than 7%. Insulin therapy is indicated if maximum doses of two oral antidiabetic drugs are not effective. This patient is taking the maximum recommended doses of metformin and glyburide. Colesevelam does not decrease hemoglobin A1c. Adding a third oral antidiabetic agent is not recommended. A weight loss program may be a part of this patient's treatment, but insulin is necessary to maintain glycemic control.
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After the examination of an infant, the nurse documents opisthotonos. The nurse recognizes that this finding often occurs with:
a. Cerebral palsy. b. Meningeal irritation. c. Lower motor neuron lesion. d. Upper motor neuron lesion.
Cancers that occur in epithelial tissue such as skin are called:
a. carcinoma c. lymphoma b. leukemia d. sarcoma
Values clarification can be incorporated within the intervention phase of the nursing process by
a. identifying ineffective family coping. b. identifying care guidelines. c. identifying client's values. d. identifying specific nursing diagnoses.
The student is investigating the use of a citation management program. What advantages do these programs offer? (Select all that apply.)
a. Automatic formatting of citations b. Creation of a personal database c. Editing papers written by the student d. Sharing citations with others e. Storing and organizing citations