A nurse is caring for a client with type 2 diabetes receiving a meglitinide. The nurse reviews the client's medical record based on the understanding that which condition would contraindicate the use of this drug?
A) Diabetic ketoacidosis
B) Kidney disease
C) Severe heart failure
D) Liver disease
Ans: A
Feedback:
Meglitinides are contraindicated in clients with diabetic ketoacidosis and severe endocrine disease. Thiazolidinediones are contraindicated in clients with severe heart failure and used with caution in clients with kidney disease, severe heart failure, and liver disease.
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