A client who is planning a trip to the beach is taking glipizide (Glucotrol). What would be important for the nurse to discuss with the client?
1. The importance of eating night-time and between-meal snacks
2. The problems associated with fluid retention in a warm climate
3. Skin sensitivity resulting from exposure to saltwater
4. Wearing sunscreen and avoiding direct sunlight
Rationale: (4)
Orally hypoglycemic agents, such as the sulfonylureas, may increase sensitivity to sunlight, resulting in sunburn (photosensitivity). The nurse must teach the client to wear sunscreen and to avoid excessive exposure to sunlight. Fluid retention is a prominent side effect of the "glitazones," or oral hypoglycemic medications, such as rosiglitazone (Avandia). (Lehne, 7 ed., p. 1026.)