This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect ... (Read 76 times)

Wadzanai

  • Hero Member
  • *****
  • Posts: 528
on: Jul 23, 2018
A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect if which of the following drugs are initiated? Select all that apply.
 
  A) Atenolol (Tenormin)
  B) Amlodipine (Norvasc)
  C) Phenytoin (Dilantin)
  D) Lithium (Eskalith)
  E) Levothyroxine (Synthroid)

Question 2

A client is receiving glipizide at a health care facility. The client is also prescribed an anticoagulant. The nurse would be alert for which of the following related to the interaction of these two drugs?
 
  A) Increased risk of lactic acidosis
  B) Risk of acute renal failure
  C) Increased risk for bleeding
  D) Increased hypoglycemic effect


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bdobbins

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: A, B, C, E
Feedback:
Beta blockers (atenolol), calcium channel blockers (amlodipine), hydantoins (phenytoin), and thyroid agents (levothyroxine), among others, can result in decreased hypoglycemic effects of sulfonylureas (glyburide).

Answer to Question 2

Ans: D
Feedback:
The nurse should observe for increased hypoglycemic effect in the client as the effect of the interaction of sulfonylureas with the anticoagulants, chloramphenicol, clofibrate, fluconazole, histamine-2 antagonists, methyldopa, monoamine oxidase inhibitors (MAOIs), salicylates, sulfonamides, and tricyclic antidepressants. Increased risk of lactic acidosis is an effect of the interaction of metformin with glucocorticoids. Increased risk for bleeding is an effect of the interaction of oral anticoagulants with anti-infective drugs. There is a risk of acute renal failure when iodinated contrast material used for radiologic studies is administered with metformin.


Wadzanai

  • Member
  • Posts: 528
Reply 2 on: Jul 23, 2018
Wow, this really help

meow1234

  • Member
  • Posts: 333
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

The types of cancer that alpha interferons are used to treat include hairy cell leukemia, melanoma, follicular non-Hodgkin's lymphoma, and AIDS-related Kaposi's sarcoma.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Rhytidoplasty. This is a common form of plastic surgery in which the skin is pulled and sutured to d Rhytidoplasty. This is a common form of plastic surgery in which the skin is pulled and sutured to d
First-pass effect: (a) drugs are absorbed; (b) drugs enter hepatic portal circulation and go directl First-pass effect: (a) drugs are absorbed; (b) drugs enter hepatic portal circulation and go directl
Multiple-dose drug administration: drug A and drug B are administered every 12 hours; drug B reaches Multiple-dose drug administration: drug A and drug B are administered every 12 hours; drug B reaches
The Frequency Distribution Curve of a Drug The Frequency Distribution Curve of a Drug
Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex. Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex.
Video: Action potentials - electrical characteristics and generation

For a complete list of videos, visit our video library