Glipizide Therapy Monitoring.
A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking glipizide.
Which of the following values indicates that the client is adhering to the treatment plan?
Positive urinary ketones.
HbA1c 6.8%.
Total cholesterol 225 mg/dL.
Creatinine 1.6 mg/dL.
The Correct Answer is B
An HbA1c value of 6.8% indicates that the client is adhering to the treatment plan [B].
HbA1c is a measure of long-term blood glucose control and is used to monitor the effectiveness of diabetes treatment.
An HbA1c value of less than 7% is generally considered a good target for people with diabetes.
Choice A is wrong because positive urinary ketones can indicate poor diabetes control [A].
Choice C is wrong because a total cholesterol level of 225 mg/dL is considered high and does not indicate adherence to the treatment plan [C].
Choice D is wrong because a creatinine level of.0 mg/dL is within the normal range but does not specifically indicate adherence to glipizide therapy [D].
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Osmotic laxatives work by drawing water into the intestines, which can lead to fluid loss and dehydration if not enough fluids are consumed.
Oliguria, or decreased urine output, can be a sign of fluid volume deficit and dehydration.
Choice A is wrong because Weight gain, is not an indication of fluid volume deficit as weight loss is more commonly associated with dehydration.
Choice C is wrong because Headaches, can be a symptom of dehydration but is not specific to fluid volume deficit.
Choice D is wrong because Nausea, can also be a symptom of dehydration but is not specific to fluid volume deficit.
Correct Answer is C
Explanation
The nurse should instruct the client to administer the medication through clothing if necessary.
In an emergency, an epinephrine auto-injector can be given through clothing.
Choice A is wrong because massaging the site after injection is not mentioned as something to avoid in the instructions for using an epinephrine auto-injector.
Choice B is wrong because the medication should be injected into the outer thigh, not the abdomen.
Choice D is wrong because aspiration prior to administration of the medication is not mentioned as a necessary step in the instructions for using an epinephrine auto-injector.
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