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.)
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Metabolic Concept
- A client is scheduled for a routine glycosylated hemoglobin (HbA1C) test. What is important for the nurse to tell the client before this test?
- What will the nurse teach the client with diabetes regarding exercise in the treatment program?
- A nurse knows the clinical manifestations of a client with Addison's disease include which of the following?
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- A child with newly diagnosed diabetes is in the emergency room and is unconscious. Glucagon has been prescribed for treatment of hypoglycemia. What would be important nursing management?
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- An 8-year-old boy with type 1 diabetes has been receiving NPH and regular insulin. His mother calls the nurse and explains that the child's morning blood glucose readings have been above 200 mg/dL. What should the nurse advise the mother to do?
- The nurse is teaching the parents of a child who is experiencing difficulty with control of his diabetes. Which of the following agents should the nurse teach the parents to administer if their child loses consciousness and has a severe hypoglycemic reaction?
- If dietary trays are usually brought to the nursing unit at 8:00 am, the nurse should plan to administer intermediate-acting insulin (Humulin N), 40 units, subcutaneously to a client between: