A patient who is newly diagnosed with type 2 diabetes mellitus has not responded to changes in diet or exercise. The patient is mildly obese and has a fasting blood glucose of 130 mg/dL. The patient has normal renal function tests
The primary care NP plans to prescribe a combination product. Which of the following is indicated for this patient? a. Metformin/glyburide (Glucovance)
b. Insulin and metformin (Glucophage)
c. Saxagliptin/metformin (Kombiglyze)
d. Metformin/pioglitazone (ACTOplus met)
A
Obese patients with normal renal function and elevated fasting plasma glucose may be started on a combination of metformin and a second-generation sulfonylurea.
You might also like to view...
The nurse plans to use a goniometer during assessment of a patient's musculoskeletal system. Which technique should the nurse use? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Document the angle of the joint in range of degrees. 2. Place the fulcrum of the goniometer on the joint. 3. Place the movable arm of the goniometer on the stationary part of the joint. 4. Place the stationary arm of the goniometer on the part of the limb that will not move. 5. Move the patient's arm through the normal full range of motion.
The nurse is explaining to a nursing student that allograft transplant clients need some form of immunosuppressant therapy. Which statement describes the pathophysiological reasoning behind this?
1. The treatment is indicated only if signs of transplant rejection are present. 2. The treatment is a precaution; rejection in allografts seldom occurs. 3. The treatment is designed to target chronic rejection, which does not occur for several weeks. 4. Despite accurate tissue matching, allografts contain antigens that trigger the client's immune response.
A nurse is caring for a client suffering from paranoid ideation. The nurse decides to use contemplation and meditation in the form of guided imagery. The nurse should know that this intervention is:
A) Appropriate for all clients B) Inappropriate for those with paranoid ideation C) Appropriate only if there is a physician order D) Inappropriate for all mental health clients
When participants' behaviors are affected not by the treatment per se but by their knowledge of participating in a study, interpretation of the findings is complicated by the influence of which of the following?
A) Treatment effect B) History threat C) Hawthorne effect D) Selection threat