The nurse is caring for a client who has nothing by mouth status (NPO) for scheduled surgery. Which prescribed medication requires clarification with the primary healthcare provider (PHCP) prior to administration?A. metoprololB. phenytoinC. levothyroxineD. glipizide
Question
The nurse is caring for a client who has nothing by mouth status (NPO) for scheduled surgery. Which prescribed medication requires clarification with the primary healthcare provider (PHCP) prior to administration?A. metoprololB. phenytoinC. levothyroxineD. glipizide
Solution
The medication that requires clarification with the primary healthcare provider (PHCP) prior to administration is D. glipizide.
Here's why:
A. Metoprolol is a beta-blocker used to treat high blood pressure and heart failure. This medication is typically continued up to and including the day of surgery to maintain heart function.
B. Phenytoin is an anti-epileptic drug used to control seizures. It's crucial to maintain therapeutic levels of this medication, so it's typically continued even when a patient is NPO.
C. Levothyroxine is a thyroid hormone replacement medication. It's important to maintain consistent levels of this medication, so it's usually continued when a patient is NPO.
D. Glipizide is an oral diabetes medication that helps control blood sugar levels. This medication could cause hypoglycemia if the patient is not eating, as in the case of being NPO for surgery. Therefore, it would be necessary to clarify with the PHCP whether or not to administer this medication.
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