Author Question: The nurse is instructing a client prescribed glipizide (Glucotrol) about possible side effects. ... (Read 27 times)

nenivikky · **on:** Jul 23, 2018

The nurse is instructing a client prescribed glipizide (Glucotrol) about possible side effects. Which side effects should be included in the client teaching session?(Select all that apply.)

1. Hypoglycemia
2. Nausea
3. Vomiting
4. Weight loss
5. Anorexia

Question 2

The nurse is caring for a diabetic client who has breath with a fruity odor. Which conclusion by the nurse is the most appropriate?

1. The client has been consuming candy.
2. The client is hyperglycemic.
3. The client is hypoglycemic.
4. The client is experiencing an allergic reaction to medication for diabetes.

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

Answer to Question 1

1, 2, 3, 5

Rationale 1:Hypoglycemiais anadverse effect of glipizide.
Rationale 2: Some patients experience mild GI-related effects such as nausea, vomiting, or loss of appetite.
Rationale 3: Some patients experience mild GI-related effects such as nausea, vomiting, or loss of appetite.
Rationale 4: Some patients experience weight gain and not weight loss.
Rationale 5:Anorexia is the medical term for decreased appetite, which is a side effect of this medication.

Global Rationale: Glipizide (Glucotrol) is a second-generation sulfonylurea which has adverse effects that are similar to the first-generation sulfonylureas. These include hypoglycemia, weight gain, GI distress, and liver toxicity.

Answer to Question 2

2

Rationale 1:The client has been consuming candy is incorrect because the fruity odor is a sign of hyperglycemia.
Rationale 2: Because glucose cannot enter cells, lipids are used as an energy source and ketoacids are produced as waste products. These ketoacids can give the patient's breath an acetone-like, fruity odor.
Rationale 3:The client is hypoglycemic is incorrect because the fruity odor is a sign of hyperglycemia.
Rationale 4:The client is experiencing an allergic reaction to medication for diabetes is incorrect because the fruity odor is a sign of hyperglycemia.

Global Rationale: Because glucose cannot enter cells, lipids are used as an energy source and ketoacids are produced as waste products. These ketoacids can give the patient's breath an acetone-like, fruity odor.