A client with Type 2 diabetes mellitus is treated with glipizide. The nurse must provide client
education.
The correct answers are:
• A: Signs of hypoglycemia. Glipizide belongs to a class of drugs called sulfonylureas, which
stimulate the pancreas to release insulin. This can cause hypoglycemia (low blood sugar), so
clients must be taught to recognize and treat symptoms like shakiness, sweating, dizziness, and
confusion.
• D: Take with meals to avoid gastric upset. Glipizide is best absorbed when taken with food,
which also helps to reduce the risk of stomach irritation.
• E: Change positions carefully due to dizziness. Dizziness and lightheadedness can be side
effects of glipizide, especially when the client first starts the medication. This is often related to
, a drop in blood sugar or, less commonly, an effect on blood pressure. Clients should be advised
to rise slowly from a sitting or lying position to prevent falls.
A client receiving rifampin and isoniazid for tuberculosis experiences adverse effects of drug
therapy. The nurse needs to determine which laboratory finding led to this conclusion.
Rifampin and isoniazid are known to be toxic to the liver.
Therefore, the most likely laboratory finding that would lead the nurse to conclude the client is
experiencing adverse effects is an elevation in liver function tests (LFTs), specifically alanine
aminotransferase (ALT) and aspartate aminotransferase (AST). An increase in these enzymes
indicates liver cell damage or inflammation.
,An EMT informs a nurse that a client is wheezing and a second EMT call states the client is now also
showing diminished lung sounds. What does this most likely indicate?
The correct answer is A: The client's airway may be closing due to inhalation, and intubation may
be needed upon arrival.
, The nurse cares for three clients who are experiencing shock of some type. Which client will the nurse
likely treat for hypovolemic shock? The images provided show three clients (A, B, and C) with
different conditions.
• Client A: Appears to have severe burns on the face and body.
• Client B: Shows a neck with distended jugular veins.
• Client C: Shows severe angioedema (swelling of the lips and face).
.
education.
The correct answers are:
• A: Signs of hypoglycemia. Glipizide belongs to a class of drugs called sulfonylureas, which
stimulate the pancreas to release insulin. This can cause hypoglycemia (low blood sugar), so
clients must be taught to recognize and treat symptoms like shakiness, sweating, dizziness, and
confusion.
• D: Take with meals to avoid gastric upset. Glipizide is best absorbed when taken with food,
which also helps to reduce the risk of stomach irritation.
• E: Change positions carefully due to dizziness. Dizziness and lightheadedness can be side
effects of glipizide, especially when the client first starts the medication. This is often related to
, a drop in blood sugar or, less commonly, an effect on blood pressure. Clients should be advised
to rise slowly from a sitting or lying position to prevent falls.
A client receiving rifampin and isoniazid for tuberculosis experiences adverse effects of drug
therapy. The nurse needs to determine which laboratory finding led to this conclusion.
Rifampin and isoniazid are known to be toxic to the liver.
Therefore, the most likely laboratory finding that would lead the nurse to conclude the client is
experiencing adverse effects is an elevation in liver function tests (LFTs), specifically alanine
aminotransferase (ALT) and aspartate aminotransferase (AST). An increase in these enzymes
indicates liver cell damage or inflammation.
,An EMT informs a nurse that a client is wheezing and a second EMT call states the client is now also
showing diminished lung sounds. What does this most likely indicate?
The correct answer is A: The client's airway may be closing due to inhalation, and intubation may
be needed upon arrival.
, The nurse cares for three clients who are experiencing shock of some type. Which client will the nurse
likely treat for hypovolemic shock? The images provided show three clients (A, B, and C) with
different conditions.
• Client A: Appears to have severe burns on the face and body.
• Client B: Shows a neck with distended jugular veins.
• Client C: Shows severe angioedema (swelling of the lips and face).
.
