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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.

Answer and Explanation

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].

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Correct Answer is A

Explanation

The nurse should withhold the dose of propranolol and notify the provider.

Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.

In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.

Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.

Choice C is wrong because there is no known interaction between albuterol and pantoprazole.

Choice D is wrong because there is no known interaction between albuterol and montelukast.

A. Review the adverse effects of the medication with the client. B. Compare the current and newly prescribed medications and note any discrepancies. C. Send a list of the prescribed medications to the client's pharmacy. D. Include the medications the client received during surgery on the client's medication list.

Correct Answer is B

Explanation

Compare the current and newly prescribed medications and note any discrepancies.

During medication reconciliation, the nurse should compare the client’s current medication orders with the medications that the client has been taking and note any discrepancies.

Choice A is wrong because Reviewing the adverse effects of the medication with the client, is not part of medication reconciliation.

Choice C is wrong because Sending a list of the prescribed medications to the client’s pharmacy, is not part of medication reconciliation.

Choice D is wrong because Including the medications the client received during surgery on the client’s medication list, is not part of medication reconciliation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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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?