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

Author Question: A patient with type 2 diabetes mellitus takes glipizide. The patient develops a urinary tract ... (Read 85 times)

Collmarie

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
A patient with type 2 diabetes mellitus takes glipizide. The patient develops a urinary tract infection, and the prescriber orders TMP/SMZ. What will the nurse tell the patient?
 
  a. Patients with diabetes have an increased risk of an allergic reaction.
  b. Patients taking TMP/SMZ may need in-creased doses of glipizide.
  c. The patient should check the blood glu-cose level more often while taking TMP/SMZ.
  d. The patient should stop taking the glipi-zide while taking the TMP/SMZ.

Question 2

A patient who takes nitroglycerine to treat stable angina reports having erectile dysfunction and states that he plans to ask his primary provider for a prescription for tadalafil Cialis. What will the nurse tell this patient?
 
  a. You may take these two drugs together safely as long as you take them as di-rected.
  b. You should not take tadalafil and nitrog-lycerine within 30 to 60 minutes of each other.
  c. You should discuss another anti-angina medication with your provider.
  d. You should avoid sexual activity since this increases oxygen demands on the heart.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Ashley I

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Sulfonamides can intensify the effects of some drugs, including glipizide, which is a sulfonylu-rea-type hypoglycemic medication. These drugs may require a reduction in dose to prevent tox-icity. Patients should monitor their blood glucose more closely. There is no increase in allergic reactions to TMP/SMZ in patients who are diabetic. Patients taking TMP/SMZ may need re-duced doses of glipizide but should not stop taking the drug.

Answer to Question 2

C
Use of nitroglycerine with any phosphodiesterase type 5 inhibitor, such as sildenafil or tadalafil is absolutely contraindicated. The patient should be advised to discuss another antianginal agent with the provider. Patients should be taught to increase all activity to maintain as normal a life-style as possible.


Collmarie

  • Member
  • Posts: 569
Reply 2 on: Jul 23, 2018
Wow, this really help

Joy Chen

  • Member
  • Posts: 354
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Approximately one in three babies in the United States is now delivered by cesarean section. The number of cesarean sections in the United States has risen 46% since 1996.

Did you know?

Medication errors are three times higher among children and infants than with adults.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Nurses possess a wide variety of experiences which they take into each patient encounter. Nurses possess a wide variety of experiences which they take into each patient encounter.
The liver in this photograph was from a deceased patient with an advanced state of cirrhosis. The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
Nursing Notes on diabetes Nursing Notes on diabetes
A radiator may be either a down-flow or a cross-flow type. A radiator may be either a down-flow or a cross-flow type.
This patient presented with a case of facial palsy caused by an infection by the bacterial ... This patient presented with a case of facial palsy caused by an infection by the bacterial ...
Video: B cells and antibodies

For a complete list of videos, visit our video library