After taking glipizide (Glucotrol) for 9 months, a male client experiences secondary failure. Which of the following would the nurse expect the physician to do?
a. Initiate insulin therapy.
b. Switch the client to a different oral antidiabetic agent.
c. Prescribe an additional oral antidiabetic agent.
d. Restrict carbohydrate intake to less than 30% of the total caloric intake.
Answer: b. Switch the client to a different oral antidiabetic agent.
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Which is the most effective method by which a nurse manager can help reduce organizational risk?
1. Quickly confront the person or persons who put the organization at risk. 2. Personally discuss the issue with the person affected or who made the complaint. 3. Handle every aspect of the issue on the unit to protect the privacy of all parties. 4. Develop a blame-free environment regardless of mistake made to encourage reporting.
A nurse is to administer a drug ordered in milligrams. The pharmacy has dispensed the drug in grams. Using the ratio method of drug calculation, the drug dosage obtained seems to be unreasonable
After rechecking the calculations, what should the nurse do next? a. Ask the client the size of the drug usually offered. b. Call the pharmacist for assistance. c. Withhold the drug and notify the client's health care provider. d. Have a colleague check the calculations.
The nurse is instructing an older client on ways to prevent esophageal irritation from taking medication. Which information should the nurse include in this teaching? Select all that apply.
1. Drink at least 8 ounces of water with morning medications. 3. Take several sips of water before taking oral medications. 4. Sit up in a chair for at least 30 minutes after taking oral medications.
A client asks the nurse about the client's medications and tells the nurse about investigating them on the Internet. The nurse's best response to this is:
1. "I'm glad you're interested in your therapy.". 2. "Information on the Internet cannot be trusted. You should check with your pharmacist.". 3. "Your physician is the one you should be asking these kinds of questions.". 4. "Let's look at some of the sites you've been visiting.".