When caring for an older client prescribed glipizide, the nurse ...

[Engineer]

When caring for an older client prescribed glipizide, the nurse should:
 
  a. question a prescription for half the usual initial dose.
  b. instruct the client to take the medication with meals.
  c. question a prescription for a usual initial dose.
  d. monitor the client for manifestations of metabolic alkalosis.

Question 2

When teaching a client newly diagnosed with type 1 diabetes, the nurse recognizes the need for further teaching when the client responds:
 
  a. I don't need to wear gloves when I administer my insulin shots.
  b. I need to rotate my insulin injection sites to prevent lipodystrophy.
  c. If I inject my insulin in a site I seldom use, it may cause my blood sugar to drop too much.
  d. As long as I keep a mental schedule of rotating injection sites, I don't need to keep a written record.

[rnehls]

Answer to Question 1

ANS: C

Feedback
A Incorrect: Older clients and those with liver dysfunction should be started with 1/2 the usual initial dose, so this prescription should not be questioned.
B Incorrect: This medication should be take 30 minutes before meals.
C Correct: Older clients and those with liver dysfunction should be started with 1/2 the usual initial dose, so this prescription should be questioned.
D Incorrect: This drug can cause metabolic acidosis.

Answer to Question 2

ANS: D

Feedback
A Incorrect: This comment demonstrates client understanding.
B Incorrect: This comment demonstrates client understanding.
C Incorrect: This comment demonstrates client understanding.
D Correct: A written record should be established and maintained.

[Engineer]

Excellent

[bblaney]

Thanks for the timely response, appreciate it