Practice Question
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement?
Answer Choices:
Correct Answer:
Obtain a fingerstick blood glucose.
Rationale:
🩸 Glipizide, a sulfonylurea, stimulates pancreatic beta cells to release insulin, which can lead to hypoglycemia as a common adverse effect.
🩸 The symptoms of confusion and blurred vision suggest low serum glucose levels that need immediate verification.
🩸 A fingerstick blood glucose test is the fastest and most appropriate diagnostic tool to determine if hypoglycemia is present.
🩸 Timely identification of low glucose allows for rapid intervention, such as oral glucose administration or glucagon if needed.
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This question is from HESI-RN Pharmacology~106A which contains 34 questions.
More Questions from This Exam
The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse? Reference Range: Hematocrit - 42% to 52% (0.42 to 0.52 volume fraction) Platelets - 150,000 to 400,000/mm³ (150 to 400 x 10⁹/L). Creatinine - 0.5 to 1.1 mg/dL (44 to 97 umol/L). Blood Urea Nitrogen (BUN) - 10 to 20 mg/dL (3.6 to 7.1 mmol/L).
Answer Choices:
A. Platelet count of 100,000/mm³ (100 x 10⁹/L).
B. Blood urea nitrogen (BUN) 20 mg/dL (7.1 mmol/L).
C. Serum creatinine 1.0 mg/dL (88.4 umol/L)
D. Hematocrit 45% (0.45 volume fraction).
What are the signs and symptoms of hypothyroidism?
Answer Choices:
A. Decreased appetite.
B. Restlessness.
C. Intolerance to cold.
D. Constipation
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Answer Choices:
A. Reduce daily fluid intake.
B. Stand and sit up slowly.
C. Use a twice-a-week dosing schedule.
D. Take the medication early in the day.
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
Answer Choices:
A. Bronchitis.
B. Hypertension.
C. Diabetes mellitus.
D. Hypercholesterolemia
A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
Answer Choices:
A. Hard candy can be used for a dry mouth.
B. Insomnia may occur while taking the medication.
C. Sensitivity to the sun can develop.
D. Another form of contraception is not needed.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Pharmacology
- Answer Choices: 4