Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client who has type 2 diabetes begins taking glipizide. Which statement by the client indicates a need for further education?
A. "I will need to check my blood sugar once daily or more."
Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.
B. "I should not take this medication if I have a sulfa allergy."
Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.
C. "I will begin by taking this once daily with breakfast."
Taking glipizide once daily with breakfast is a reasonable dosing schedule.
D. "I may continue to have a glass of wine with dinner."
Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
a) Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.
b) Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.
c) Taking glipizide once daily with breakfast is a reasonable dosing schedule.
d) Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.
Similar Questions
Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?
A. "I will rise slowly from lying to sitting, to standing."
Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.
B. "I will elevate my legs if edema occurs."
Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.
C. "I will take the medication with grapefruit juice.”
Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.
D. "I can limit my risk for constipation by increasing fluid and fiber."
Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.
Full Explanation
a) Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.
b) Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.
c) Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.
d) Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.
A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The nurse will ask the provider to order which of these laboratory tests?
A. Vitamin D levels
Vitamin D levels may be affected by long-term glucocorticoid use, but the described symptoms are more indicative of potential glucocorticoid-related side effects, such as Cushingoid features, which warrant liver function tests.
B. Liver function tests
Liver function tests are appropriate to assess the impact of long-term glucocorticoid use on the liver, as these medications can affect liver function.
C. Serum electrolytes
Serum electrolytes are important to monitor, but the specific symptoms mentioned (full cheeks, hump of fat) are not typically associated with electrolyte imbalances.
D. Tuberculin skin test
A tuberculin skin test is unrelated to the observed symptoms and is not typically ordered based on the physical features described.
Full Explanation
a) Vitamin D levels may be affected by long-term glucocorticoid use, but the described symptoms are more indicative of potential glucocorticoid-related side effects, such as Cushingoid features, which warrant liver function tests.
b) Liver function tests are appropriate to assess the impact of long-term glucocorticoid use on the liver, as these medications can affect liver function.
c) Serum electrolytes are important to monitor, but the specific symptoms mentioned (full cheeks, hump of fat) are not typically associated with electrolyte imbalances.
d) A tuberculin skin test is unrelated to the observed symptoms and is not typically ordered based on the physical features described.
The nurse reinforces instructions regarding when to take levothyroxine and determines teaching was effective when the client states the medication should be taken in which manner?
A. 30 to 60 minutes before breakfast
Levothyroxine is usually recommended to be taken 30 to 60 minutes before breakfast to enhance absorption, but this is not the answer indicated by the client's statement.
B. At bedtime
Taking levothyroxine at bedtime is another acceptable option and may be more convenient for some individuals. Both options (morning or bedtime) are valid.
C. When they feel fatigued
Taking levothyroxine when feeling fatigued is not a specific guideline for medication administration.
D. With an antacid
Taking levothyroxine with an antacid may interfere with absorption and is not recommended.
Full Explanation
a) Levothyroxine is usually recommended to be taken 30 to 60 minutes before breakfast to enhance absorption, but this is not the answer indicated by the client's statement.
b) Taking levothyroxine at bedtime is another acceptable option and may be more convenient for some individuals. Both options (morning or bedtime) are valid.
c) Taking levothyroxine when feeling fatigued is not a specific guideline for medication administration.
d) Taking levothyroxine with an antacid may interfere with absorption and is not recommended.