Risk of ketoacidosis
Q34) A client with type one diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?
(a) Propranolol increases insulin requirements because of receptors blocking
(b) The beta-blocker can mask the symptoms of hypoglycemia – correct answer
(c) The beta-blocker can cause insulin resistance
(d) Using the two agents together increases the risk of ketoacidosis
Q41) A client is taking oral itraconazole for a systemic fungal infection. The nurse reviews the medication record and notes that the client is also taking cimetidine for reflux disease which action should the nurse take?
(a) Administer the cimetidine one hour before the itraconazole
(b) Administer the cimetidine at least two hours after the itraconazole – correct answer but confirm
(c) Confer with the prescriber about a potentially hazardous interaction
(d) Don’t give the cimetidine to a client receiving itraconazole
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