Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide?
Glyburide decreases glucagon secretion from the pancreas.
Glyburide should be taken even if the morning blood glucose level is low.
Glyburide should not be used for 48 hours after receiving IV contrast media.
Glyburide stimulates insulin production and release from the pancreas.
The Correct Answer is D
Therefore, the correct option is d. Glyburide is a sulfonylurea medication used to treat type 2 diabetes. It works by stimulating the beta cells in the pancreas to produce and release more insulin, which helps to lower blood glucose levels.
Option A is incorrect because glyburide does not affect glucagon secretion from the pancreas. Glucagon is a hormone that raises blood glucose levels by promoting the breakdown of glycogen in the liver.
Option b is incorrect because glyburide should not be taken if the morning blood glucose level is less than 70 mg/dL, as this may increase the risk of hypoglycemia.
Option c is incorrect because glyburide does not interact with IV contrast media. However, some types of IV contrast media can cause kidney damage in patients with diabetes, and the use of glyburide should be temporarily discontinued if a patient is undergoing a procedure that involves the use of contrast media.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse will discuss using rapid-acting insulin such as Lispro (Humalog) for mealtime coverage in a patient with diabetes who is starting insulin therapy. Rapid-acting insulin begins to work quickly after injection, usually within 15 minutes, and peaks at around 1 hour. This makes it an effective choice for covering the rise in blood sugar that occurs after meals.
Options A, B, and D are all long-acting insulins that are used to provide a basal level of insulin coverage throughout the day but are not appropriate for mealtime coverage.
Correct Answer is ["A","B","C"]
Explanation
b. Monitoring blood glucose levels: This is an essential nursing intervention as patients with Cushing syndrome are at risk for developing diabetes mellitus because of cortisol on glucose metabolism. The nurse should monitor the patient's blood glucose levels regularly and report any abnormal readings to the healthcare provider.
c. Protecting patients from exposure to infection: Patients with Cushing syndrome are also at risk for developing infections due to the immunosuppressive effects of cortisol. The nurse should take appropriate infection control measures, such as frequent handwashing, wearing gloves, and isolation precautions if necessary.
a. Observing for signs of hypotension: Although hypotension is not typically seen in patients with Cushing syndrome, it can occur in some cases due to the depletion of cortisol. The nurse should monitor the patient's blood pressure regularly and report any abnormal readings to the healthcare provider.
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