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.0 mg/dL.
Creatinine.0 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 A
Explanation
Nasal cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia.
It is typically administered once per week into one nostril.
Choice B is wrong because there is no need to lie down for 1 hour after administering the medication.
Choice C is wrong because using a nasal decongestant before administering the medication is not necessary and may interfere with the absorption of the medication.
Choice D is wrong because the duration of treatment with nasal cyanocobalamin varies and should be determined by the provider based on the client’s individual needs.
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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