Author Question: The community nurse is teaching a group of members with type 1 or 2 diabetes mellitus who are ... (Read 39 times)

bcretired · **on:** Jun 25, 2018

The community nurse is teaching a group of members with type 1 or 2 diabetes mellitus who are planning to participate in an athletic triathlon. On which potential complication from this event should the nurse focus when teaching?

1. diabetic ketoacidosis
2. hypoglycemia
3. hyperosmolar hyperglycemic state
4. impaired glucose tolerance

Question 2

The nurse is teaching a patient with type 2 diabetes mellitus about glyburide (DiaBeta). The nurse knows teaching has been effective when the patient states, I need to monitor for dizziness, lightheadedness, and sweating if I take:

Select all that apply.
1. ibuprofen (Motrin) for pain.
2. ranitidine (Zantac) for heartburn.
3. cetirizine (Zyrtec) for allergies.
4. metoprolol (Lopressor) for hypertension.
5. docusate sodium (Colace) for constipation.

kishoreddi · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
One reason for the development of severe hypoglycemia is too much exercise. Diabetic ketoacidosis and hyperosmolar hyperglycemic state are not associated with exercise. Exercise does not impact glucose tolerance.

Answer to Question 2

Correct Answer: 1, 2, 4
Dizziness, lightheadedness, and sweating are symptoms of hypoglycemia. Monitor for hypoglycemia if the patient is also taking nonsteroidal anti-inflammatory agents (NSAIDs), ranitidine, or beta blockers. Zyrtec and Colace do not interact with glyburide.