Practice Question
The nurse is caring for a client with type 2 diabetes mellitus who has recently started taking glimepiride. Which finding indicates the medication is having the desired effect? Laboratory Reference Ranges: Fasting blood glucose: < 100 mg/dL
Answer Choices:
Correct Answer:
The client reports fasting blood glucose levels between 90 and 110 mg/dL
Rationale:
💠 Glimepiride is a sulfonylurea that lowers blood glucose by stimulating the pancreas to release insulin and increasing insulin sensitivity in peripheral tissues.
💠 The desired therapeutic effect is achieving and maintaining fasting blood glucose levels within the target range (<100 mg/dL is normal, but values between 90–110 mg/dL show effective control for type 2 diabetes).
💠 Dizziness and tremors suggest hypoglycemia, a potential side effect of sulfonylureas, not a therapeutic outcome.
💠 Weight gain may occur with glimepiride, but it is an adverse effect, not evidence of treatment effectiveness.
💠 Stable blood glucose levels help prevent both acute complications (hypoglycemia, hyperglycemia) and long-term complications (retinopathy, nephropathy, neuropathy).
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This question is from Exam 4 - Modules 7 and 8 which contains 69 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4