A patient taking empagliflozin has nausea, abdominal pain and deep, rapid breathing. The blood glucose level is 148 mg/dL (8.2 mmol/L). Which action is the priority?
Correct answer: A. Notify the provider urgently and prepare for ketone testing
- A. Notify the provider urgently and prepare for ketone testing
- B. Give the next dose with food to prevent gastric irritation
- C. Reassure the patient because the glucose level is not elevated
- D. Give a rapid-acting carbohydrate and recheck glucose later
Explanation
SGLT2 inhibitors can rarely cause diabetic ketoacidosis with only a mildly raised or near-normal glucose level. The symptoms require urgent assessment for ketones and acidosis, rather than reassurance based on the glucose value.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
Practise Endocrine and Diabetes Drugs
50 free Endocrine and Diabetes Drugs MCQs from Nursing Pharmacology, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Nursing Pharmacology questions like this
Nursing Pharmacology is on 8 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Endocrine and Diabetes Drugs questions
A patient with type 2 diabetes takes metformin. Which laboratory assessment is most important for ongoing safety?
Which insulin preparation is commonly administered by the intravenous route in a hospital setting?
Which laboratory result is most important to monitor in a patient receiving calcitriol for hypocalcaemia?
Which statement correctly describes the action of propylthiouracil in a patient with hyperthyroidism?
A patient taking levothyroxine develops palpitations, heat intolerance and unexplained weight loss. Which interpretation is most appropriate?
A patient with adrenal insufficiency takes hydrocortisone replacement and develops a high fever. Which instruction is most appropriate?