Outline the teaching you need to provide to Y.L. regarding oral hypoglycemic therapy
What will be an ideal response?
• For each drug, review the name, action, dose, storage, adverse reactions, and side effects. Review
when to take the drugs. She should eat the prescribed diet and take the first doses with breakfast.
Missing or delaying meals increases the risk of swings in glucose levels.
• Because a hypoglycemic reaction can occur with glipizide, teach her the symptoms of
hypoglycemic reaction (headache, nervousness, sweating, tremors, and rapid pulse), how to treat a
reaction, and ways to decrease the chance of a reaction (avoiding alcohol, sick day rules).
• Teach her the symptoms of hyperglycemia (thirst, increased urine output, sweet fruity breath odor)
and what to do if hyperglycemia occurs.
• Advise Y.L. to obtain a medical alert card, tag, or bracelet indicating type 2 DM and carry a card in
her wallet outlining her medication regimen.
• She should avoid OTC medications unless approved by the prescriber.
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After determining that a newborn is in need of resuscitation, which of the following would the nurse do first?
A) Dry the newborn thoroughly B) Suction the airway C) Administer ventilations D) Give volume expanders
The health care facility is involved in litigation by four clients. When reviewing the cases, which legal case would the nurse attorney identify to best describe malpractice?
a. The nurse applies an ice pack to a client's lower back without an order and he feels better. b. The nurse administers amoxicillin (Amicar) to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest. c. The nurse using proper mechanics assists a client to a locked bed. He slips and breaks his left femur. d. The nurse administered the wrong medication to the client, who had one episode of vomiting 5 minutes after consuming the medication with no further adverse reactions.
A nurse is teaching a classroom of teenage girls about the female reproductive system. After teaching, the nurse asks the students to describe the release of an ovum during ovulation. Which response indicates that teaching has been effective?
1. "Ovulation is when the uterus releases an unfertilized egg or ovum." 2. "During ovulation, an egg is released from the ovary and enters the fallopian tube." 3. "The endometrium is where the eggs are formed and released into the fallopian tube." 4. "Around the middle of the menstrual cycle, one of the fallopian tubes releases an egg."