Author Question: An adolescent patient recently attended a health fair and had a serum glucose test. This patient ... (Read 16 times)

crazycityslicker · **on:** Jul 23, 2018

An adolescent patient recently attended a health fair and had a serum glucose test. This patient telephones the nurse, saying, My level was 125. Does that mean I have diabetes? Choose the nurse's most accurate response.

1. Unless you were fasting for over 8 hours, this does not necessarily mean you have diabetes.
2. At this level, you probably have diabetes. You will need an oral glucose tolerance test this week.
3. This level is conclusive evidence that you have diabetes.
4. This level is conclusive evidence that you do not have diabetes.

Question 2

A nurse counsels a patient with diabetes who is starting therapy with an alpha-glucosidase inhibitor. The patient should be educated about the potential for which adverse reaction(s)? (Select all that apply).

a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea

yuyiding · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1

Answer to Question 2

ANS: B, E
Acarbose and miglitol frequently cause flatulence, cramps, abdominal distention, borborygmus (rumbling bowel sounds), and diarrhea. Acarbose also can cause liver damage.
Neither acarbose nor miglitol causes hypoglycemia, elevated iron levels, or fluid retention.