What precaution should a nurse teach a female patient who is taking glyburide (DiaBeta) once daily for control of blood glucose?
a. "Do not take it if you skip a meal."
b. "Be sure it is discontinued before any tests involving contrast dye."
c. "Avoid drinking alcohol."
d. "You will need to use two forms of birth control."
ANS: C
Sulfonylureas interact with alcohol and can make the patient very ill. A refers to meglitinides and alpha-glucosidase inhibitors. B refers to metformin. Glitazones may interfere with birth control.
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A nurse is assessing the body mass index of a client during a comprehensive assessment. Which of the following variables could the nurse include in a determination of the client's body composition?
A) Skin thickness B) Pulse rate C) Blood pressure D) Body temperature
The nurse working in a predominately Hispanic community outlines a breast health screening. The nurse is aware that:
1. Breast cancer is the leading cause of cancer death in Hispanic women. 2. This cultural group is strict about performing monthly self breast exams. 3. Hispanic women have a higher incidence of breast cancer after age 40. 4. Hispanic women have an open attitude about private issues.
Which of the following disorders is caused by a single-gene disorder?
1. Huntington disease 2. Alzheimer disease 3. Prader-Willi syndrome 4. Obesity
What visible skin change of the breast does she have?
A 56-year-old female comes to your clinic, complaining of her left breast looking unusual. She says that for 2 months the angle of the nipple has changed direction. She does not do self-examinations, so she doesn't know if she has a lump. She has no history of weight loss, weight gain, fever, or night sweats. Her past medical history is significant for high blood pressure. She smokes two packs of cigarettes a day and has three to four drinks per weekend night. Her paternal aunt died of breast cancer in her forties. Her mother is healthy but her father died of prostate cancer. On examination you find a middle-aged woman appearing older than her stated age. Inspection of her left breast reveals a flattened nipple deviating toward the lateral side. On palpation the nipple feels thickened. Lateral to the areola you palpate a nontender 4-cm mass. The axilla contains several fixed nodes. The right breast and axilla examinations are unremarkable. A) Nipple retraction B) Paget's disease C) Peau d'orange sign