Difficulty: Medium
Average Score: 95%
Simulated
A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect?
Correct answer
D
Rationale
The correct answer is D: Decreased blood glucose level. Glyburide is a sulfonylurea medication that works by increasing insulin release from the pancreas, leading to a decrease in blood glucose levels. The client's symptoms of anxiety and profuse sweating are indicative of hypoglycemia, which is a common side effect of sulfonylureas like glyburide. Therefore, the nurse should expect a decreased blood glucose level as a result of the medication.
Choice A, Positive Chvostek's sign, is associated with hypocalcemia, not hypoglycemia. Choice B, Decreased deep-tendon reflexes, is not typically associated with glyburide use. Choice C, Pitting pedal edema, is more indicative of fluid retention rather than hypoglycemia.
Choice A, Positive Chvostek's sign, is associated with hypocalcemia, not hypoglycemia. Choice B, Decreased deep-tendon reflexes, is not typically associated with glyburide use. Choice C, Pitting pedal edema, is more indicative of fluid retention rather than hypoglycemia.