When caring for an older client prescribed glipizide, the nurse should:
a. question a prescription for half the usual initial dose.
b. instruct the client to take the medication with meals.
c. question a prescription for a usual initial dose.
d. monitor the client for manifestations of metabolic alkalosis.
ANS: C
Feedback
A Incorrect: Older clients and those with liver dysfunction should be started with 1/2 the usual initial dose, so this prescription should not be questioned.
B Incorrect: This medication should be take 30 minutes before meals.
C Correct: Older clients and those with liver dysfunction should be started with 1/2 the usual initial dose, so this prescription should be questioned.
D Incorrect: This drug can cause metabolic acidosis.
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