Author Question: An elderly patient who has type 2 diabetes has a history of severe hypoglycemia. The patient's ... (Read 35 times)

tingc95 · **on:** Jul 23, 2018

An elderly patient who has type 2 diabetes has a history of severe hypoglycemia. The patient's spouse asks the nurse what the optimum A1c level is for the patient. Which is correct?

a. Between 6.5 and 7.0
b. Below 7.0
c. Below 8.0
d. Between 7.0 and 8.5

Question 2

A patient is being discharged after surgery. During the admission history, the nurse learned that the patient normally consumes two or three glasses of wine each day. The prescriber has ordered hydrocodone with acetaminophen Lortab for pain.

What will the nurse do? a. Request an order for acetaminophen without hydrocodone for pain.
b. Suggest that the patient use ibuprofen for pain.
c. Tell the patient not to drink wine while taking Lortab.
d. Tell the patient to limit wine intake to one or two glasses per day.

Mholman93 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
For patients with a history of severe hypoglycemia and those with a limited life expectancy or advanced micro- and macrovascular complications, the target A1c level should be below 8.0 . For most other patients with diabetes, the target is 7.0 and below.

Answer to Question 2

C
Combining a hepatotoxic drug with certain other drugs may increase the risk of hepatotoxicity. When even therapeutic doses of acetaminophen are taken with alcohol, the acetaminophen can cause liver damage. Patients should be cautioned not to drink alcohol; even two drinks with ace-taminophen can produce this effect. Hydrocodone does not contribute to hepatotoxicity. Ibupro-fen is not indicated for postoperative pain unless the pain is mild. Limiting wine to one or two glasses per day still increases the risk of hepatotoxicity.