A patient prescribed glipizide is about to take the morning tablet but says breakfast will be delayed for several hours. Which instruction should the nurse give?
Correct answer: C. Wait to take the tablet until ready to eat
- A. Take the tablet now and skip breakfast
- B. Take the tablet with a glass of milk only
- C. Wait to take the tablet until ready to eat
- D. Double the next dose after eating breakfast
Explanation
Glipizide stimulates insulin release and can cause hypoglycaemia when taken without an adequate meal. The patient should take it as prescribed with food, not take an extra dose later. Skipping a meal increases the risk of sweating, tremor and confusion.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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