Difficulty: Medium
Average Score: 92%
Simulated
A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?
Correct answer
D
Rationale
Correct Answer: D. "I am allergic to shellfish."
Rationale: Glyburide belongs to a class of medications known as sulfonylureas, which can cross-react with sulfa drugs. Clients with a known allergy to sulfa drugs, such as sulfonamides, should avoid using glyburide to prevent an allergic reaction. This contraindication is crucial as it can lead to severe adverse effects and complications.
Summary of other choices:
A: Nursing while taking glyburide is generally safe and not a contraindication.
B: A history of strep throat is unrelated to the contraindication for glyburide use.
C: Recent flu shot administration does not impact the use of glyburide.
E, F, G: No additional information provided to evaluate their relevance to contraindications for glyburide.
Rationale: Glyburide belongs to a class of medications known as sulfonylureas, which can cross-react with sulfa drugs. Clients with a known allergy to sulfa drugs, such as sulfonamides, should avoid using glyburide to prevent an allergic reaction. This contraindication is crucial as it can lead to severe adverse effects and complications.
Summary of other choices:
A: Nursing while taking glyburide is generally safe and not a contraindication.
B: A history of strep throat is unrelated to the contraindication for glyburide use.
C: Recent flu shot administration does not impact the use of glyburide.
E, F, G: No additional information provided to evaluate their relevance to contraindications for glyburide.