Difficulty: Medium
Average Score: 62%
Simulated
A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?
Correct answer
B
Rationale
The correct answer is B: Prednisone. Prednisone is a corticosteroid that can cause glucose intolerance by increasing blood sugar levels through various mechanisms, such as decreasing insulin sensitivity and increasing gluconeogenesis. This can be especially problematic for individuals with diabetes, as it can worsen glycemic control.
Other choices are incorrect because:
A: Dextromethorphan is a cough suppressant and does not typically affect glucose levels.
C: Atorvastatin is a statin used to lower cholesterol and does not have a direct impact on glucose intolerance.
D: Cimetidine is an H2 blocker used to reduce stomach acid and does not typically affect glucose levels.
Other choices are incorrect because:
A: Dextromethorphan is a cough suppressant and does not typically affect glucose levels.
C: Atorvastatin is a statin used to lower cholesterol and does not have a direct impact on glucose intolerance.
D: Cimetidine is an H2 blocker used to reduce stomach acid and does not typically affect glucose levels.