The nurse is caring for a client with renal dysfunction who requires an oral antidiabetic agent.
What drug will the nurse expect to see ordered?

Tolbutamide.

Tolazamide.

Chlorpropamide.

Chlorpromazine.

Answer and Explanation

The Correct Answer is A

Tolbutamide is preferred for clients with renal dysfunction, who may not be able to excrete chlorpropamide, because it is more easily cleared from the body.

Choice B. Tolazamide is wrong because it is a first-generation sulfonylurea that is used less frequently and is usually tried after tolbutamide and chlorpropamide have been shown to be ineffective.

Choice C. Chlorpropamide is wrong because it is a first-generation sulfonylurea that may accumulate in clients with renal dysfunction and cause hypoglycemia.

Choice D. Chlorpromazine is wrong because it is an antipsychotic agent, not an oral antidiabetic agent.

First-generation sulfonylureas are oral antidiabetic agents that stimulate insulin secretion from the pancreas.

They are used to treat type 2 diabetes mellitus.

The normal range of blood glucose level is 70 to 110 mg/dL.

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Correct Answer is C

Explanation

Metamucil Psyllium Fiber Supplement Sugar-Free Orange Smooth Powder - Shop Medicines & Treatments at H-E-B

The correct answer is c. The importance of consuming adequate amounts of water.

Rationale for Choice A:

Statement:The need to monitor for systemic side effects.
Rationale:It's not accurate to prioritize monitoring for systemic side effects when teaching a patient about psyllium (Metamucil).Psyllium is a bulk-forming laxative that primarily acts within the gastrointestinal tract,and systemic side effects are rare.While it's essential to be aware of potential side effects,focusing on them during initial teaching might cause unnecessary anxiety.

Rationale for Choice B:

Statement:The need to use the dry form of Metamucil to prevent cramping.
Rationale:This statement is incorrect.It's generally recommended to mix psyllium with water or another liquid before ingestion.Consuming the dry form can increase the risk of choking and might not adequately hydrate stool.

Rationale for Choice C:

Statement:The importance of consuming adequate amounts of water.
Rationale:This is the most crucial information to emphasize when teaching about psyllium.Psyllium works by absorbing water and forming a bulky gel that softens stool and promotes bowel movements.Without sufficient water intake,psyllium can cause constipation to worsen or lead to intestinal obstruction.

Rationale for Choice D:

Statement:The onset of action of 30 to 60 minutes after administration.
Rationale:This statement is inaccurate.Psyllium is not a fast-acting laxative.It typically takes 12-72 hours to produce a bowel movement.Informing patients about the expected time frame for results is essential to manage expectations and prevent unnecessary medication overuse.

A. Prepare a week’s supply of syringes and refrigerate. B. Ask a neighbor to come over every day to prepare the medication. C. Have the client use a magnifying glass. D. Change the client to oral antidiabetics.

Correct Answer is C

Explanation

This strategy can help the client read the numbers on the syringe and prepare the correct dose of insulin. A magnifying glass is also an affordable and accessible tool for the client.

Choice A is wrong because preparing a week’s supply of syringes and refrigerating them can affect the potency and sterility of insulin.

It can also increase the risk of errors or confusion.

Choice B is wrong because asking a neighbor to come over every day to prepare the medication can compromise the client’s privacy and independence.

It can also be unreliable and inconvenient for both parties.

Choice D is wrong because changing the client to oral antidiabetics is not possible for type 1 diabetes.

People with type 1 diabetes need to take insulin for life because their pancreas cannot make insulin.

Oral antidiabetics are only effective for people with type 2 diabetes who have functioning pancreatic beta cells

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The nurse is caring for a client with renal dysfunction who requires an oral antidiabetic agent. What drug will the nurse expect to see ordered?

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Naxlex Comprehensive Predictor Exams

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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The nurse is caring for a client with renal dysfunction who requires an oral antidiabetic agent.
What drug will the nurse expect to see ordered?