A client who has type 2 diabetes begins taking glipizide. Which statement by the client indicates a need for further education?

"I will need to check my blood sugar once daily or more."

"I should not take this medication if I have a sulfa allergy."

"I will begin by taking this once daily with breakfast."

"I may continue to have a glass of wine with dinner."

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is ["A","D"]

Explanation

A) Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.

B) Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.

C) Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.

D) Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.

E) Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.

A. Discuss possible opiate dependence with the client's provider. B. Note the effectiveness of the analgesia in the client's chart. C. Encourage the client to turn over, and cough and take deep breaths. D. Prepare to administer naloxone and provide respiratory support.

Correct Answer is D

Explanation

a) While discussing possible opiate dependence is important, the immediate concern is the client's respiratory depression and altered level of consciousness, which may require naloxone administration.

b) Noting the effectiveness of analgesia is relevant but does not address the current respiratory depression and lethargy observed in the client.

c) Encouraging the client to turn over and cough may not be effective in addressing severe respiratory depression, and immediate intervention is needed.

d) The client's symptoms, including drowsiness, lethargy, pinpoint pupils, and respiratory depression, are consistent with opioid overdose. Naloxone is the antidote for opioid toxicity and should be administered promptly.

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A client who has type 2 diabetes begins taking glipizide. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which are preventable causes of medication errors? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

A client on a morphine PCA pump is noted to be drowsy and lethargic with pinpoint pupils and the following vitals: pulse 84 beats/minute, respiratory rate 10 breaths/minute, blood pressure 90/50 mm Hg. What is the nurse's best action?

Correct Answer is D

Explanation

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