CNA 101 Exam 3 - Diabetic Meds

CNA 101 Exam 3 - Diabetic Meds You are caring for a patient who is taking exenatide (Byetta) to treat type 2 DM. The patient reports severe abdominal pain. You suspect which of the following adverse reactions to this drug? A. Peptic ulcer disease B. Hyperkalemia C. Hyperglycemia D. Pancreatitis D (Rationale: exenatide, an incretin mimetic agent, can cause acute pancreatitis. The patient is instructed to watch for and report severe or persistent abdominal pain, so the provider should now be informed and tell the patient to stop taking the drug. Exenatide is unlikely to cause hyperkalemia, an effect much more likely with insulin. Exenatide is more likely to cause hypoglycemia than hyperglycemia. Indications of hypoglycemia include tachycardia, diaphoresis, shakiness, and weakness.) You are caring for a patient who takes acarbose (Precose) and a sulfonylurea to treat type 2 DM. Which of the following is an indication of an adverse reaction to this drug combination? A. Polyuria B. Tremors C. Bradycardia D. Thirst B (Rationale: This drug combo can cause hypoglycemia. Indications of hypoglycemic reaction include hunger, tachycardia, shakiness, tremors, and diaphoresis. Polyuria and thirst are indications of hyperglycemia, not hypoglycemia. Tachycardia, not bradycardia, is an indication of hypoglycemia. Acarbose, with or without sulfonylurea therapy, is unlikely to cause bradycardia.) A patient is about to start taking sustained release glipizide (Glucotrol) to treat type 2 DM. Which of the following instructions should you include when talking with the patient about taking his drug? A. Chew the tablet completely before swallowing it. B. Take it once a day, 30 min before selected meals. C. Take it in the evening before bedtime. D. Drink 16 oz. of water right after taking it. B (Rationale: Take sustained-release glipizide, a sulfonylurea, 30 min before the first meal of the day. Other drugs in this category require 1-3 doses per day before selected meals. Do not crush or chew the sustained-release tablets. It is not necessary to drink 16 oz of water after taking the drug, but it is