Chapter 40, Antidiabetic Drugs TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. A client with hyperinsulinism has been prescribed diazoxide. After administration, which adverse reaction should the nurse prioritize? A) Myalgia B) Tachycardia C) Flatulence D) Epigastric discomfort Answer: B Rationale: The nurse should monitor for tachycardia, congestive heart failure, sodium and fluid retention, hyperglycemia, and glycosuria as the adverse reactions in the client receiving diazoxide drug therapy. Myalgia, fatigue, and headache are the adverse reactions observed in clients undergoing pioglitazone HCl drug therapy. Flatulence is one of the adverse reactions found in clients receiving metformin drug therapy. Epigastric discomfort is one of the adverse reactions observed in clients receiving acetohexamide drugs. Question Format: Multiple Choice Chapter: 40 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 546, Summary Drug Table 2. A nurse is teaching a client about acarbose. The nurse determines the teaching is successful when the client correctly states which instruction to follow when administering the drug at home? A) Administer the drug with breakfast. B) Expect to add an oral sulfonylurea with the drug. C) Administer the drug with the first bite of the meal. D) Report unusual somnolence to the primary health care provider. Answer: C Rationale: Acarbose should be administered with the first bite of the meal. Glyburide needs to be administered with breakfast. An oral sulfonylurea will likely be added to metformin if the client does not experience a response in 4 weeks using the maximum dose of metformin. Clients taking metformin may experience unusual somnolence, of which the nurse should inform the primary health care provider. Question Format: Multiple Choice Chapter: 40 Learning Objective: 5 Cognitive Level: Apply