Author Question: A patient with type 2 diabetes is taking an oral hypoglycemic agent. She complains of feeling poorly ... (Read 64 times)

FButt · **on:** Jul 23, 2018

A patient with type 2 diabetes is taking an oral hypoglycemic agent. She complains of feeling poorly since she started taking a sulfonamide for a urinary tract infection. The nurse should take which of the following actions?

a. Have the patient come in immediately for re-evaluation.
b. Have the patient check her blood glucose level to see whether it is high.
c. Instruct the patient to check her blood glucose level to see whether it is low.
d. Advise the patient to add an extra snack just prior to bedtime.

Question 2

The nurse is teaching a group of nursing students about the use of glucocorticoids and the resultant physiologic effects. Which statement by one of the students best demonstrates under-standing of these effects?

a. Glucocorticoids inhibit the metabolism of fatty acids for fuel.
b. Glucocorticoids block the synthesis of glucose from amino acids.
c. Glucocorticoids promote the storage of glucose in the form of glycogen.
d. Glucocorticoids increase cellular sensitivity to insulin.

bimper21 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
The nurse should have the patient check her blood glucose level to see whether it is low, because the sulfonamide can intensity the effects of the oral hypoglycemic agent.
The patient does not need to come in immediately, because this is not a life-threatening emer-gency.
The nurse would not expect the blood glucose level to be high.
Adding an extra snack just before bedtime will only elevate the blood glucose level even more.

Answer to Question 2

C
Glucocorticoids promote the storage of glucose in the form of glycogen.
The most consistent effect of glucocorticoids on fat metabolism is not inhibition but stimulation of lipolysis (fat breakdown).
Glucocorticoids promote rather than block the synthesis of glucose from amino acids.
Glucocorticoids do not increase cellular sensitivity to insulin. Other drugs, such as the sulfony-lureas, increase cellular sensitivity to insulin.