Author Question: A patient who has type 2 diabetes will begin taking glipizide Glucotrol. Which statement by the ... (Read 23 times)

Shelles · **on:** Jul 23, 2018

A patient who has type 2 diabetes will begin taking glipizide Glucotrol. Which statement by the patient is concerning to the nurse?

a. I will begin by taking this once daily with breakfast.
b. It is safe to drink grapefruit juice while taking this drug.
c. I may continue to have a glass of wine with dinner.
d. I will need to check my blood sugar once daily or more.

Question 2

A parent asks a nurse about giving diphenhydramine Benadryl to a child to relieve cold symptoms. Which response by the nurse is correct?

a. Benadryl must be given in higher doses to provide relief for cold symptoms.
b. Intranasal glucocorticoids are more ef-fective for treating cold symptoms.
c. Nasal antihistamines are more effective for treating cold symptoms.
d. Because histamine doesn't cause cold symptoms, Benadryl would not be effec-tive.

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

Answer to Question 1

C
Glipizide is a sulfonylurea antidiabetic agent and can cause a disulfiram-like reaction when com-bined with alcohol. Patients should be taught to avoid alcohol while taking this medication. The initial dosing is once daily with breakfast. There is no drug interaction with grapefruit juice. Pa-tients will need to monitor their blood glucose.

Answer to Question 2

D
Histamine does not contribute to symptoms of infectious rhinitis; therefore, antihistamines are of no use in treating cold symptoms. Giving antihistamines in higher doses does not provide relief for infectious rhinitis. Intranasal glucocorticoids are not useful for infectious rhinitis. Nasal anti-histamines are not effective for treating infectious rhinitis.