Which antidiabetic medication is a sulfonylurea?
Metformin (Glucophage)
Pioglitazone (Actos)
Glipizide (Glucotrol)
Repaglinide (Prandin)
The Correct Answer is C
Choice A rationale: Metformin belongs to the biguanide class of antidiabetic medications.
Choice B rationale: Pioglitazone is a thiazolidinedione used to treat diabetes, not a sulfonylurea.
Choice C rationale: Glipizide is a sulfonylurea used to stimulate insulin secretion in type 2 diabetes.
Choice D rationale: Repaglinide is a meglitinide, another class of drugs that stimulates insulin release.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Symptoms and findings described align more with an acute, severe condition rather than a chronic one.
Choice B rationale: While cholecystitis can present with similar symptoms, the radiation of pain to the back is more indicative of a different condition.
Choice C rationale: Cholelithiasis (gallstones) might cause abdominal pain but typically doesn’t lead to fever and hypotension.
Choice D rationale: Symptoms including severe abdominal pain, radiation to the back, fever, and hypotension suggest acute pancreatitis, a potentially serious condition requiring urgent medical attention.
Correct Answer is A
Explanation
Choice A rationale: This patient is likely experiencing hyperosmolar hyperglycemic state (HHS). Rapid administration of IV fluids is crucial to correct severe dehydration associated with HHS.
Choice B rationale: Routine insulin therapy and exercise might be components of diabetes management but wouldn't directly address the immediate concern of severe dehydration and high blood glucose.
Choice C rationale: Cardiac monitoring for potassium changes might be necessary but isn't the primary immediate intervention for HHS.
Choice D rationale: Administering a different antibiotic for the UTI is incorrect, because there is no evidence that the current antibiotic is ineffective or causing adverse effects. The UTI may have triggered the HHS, but it is not the main problem that needs to be addressed urgently.
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