Question

A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications is contraindicated for this client due its effect on blood glucose levels?

A. Ranitidine
Rationale: Medications that increase plasma glucose levels are contraindicated for this client. Ranitidine can cause a reversible decrease in the WBC but does not affect blood glucose levels.
B. Cephalexin
Rationale: Medications that increase plasma glucose levels are contraindicated for this client. Cephalexin can cause a false- positive urine glucose test result but does not affect blood glucose levels.
C. Prednisone
Rationale: Medications that increase plasma glucose levels are contraindicated for this client.
Corticosteroids, such as prednisone, increase plasma levels of glucose levels and cause
hyperglycemia and glycosuria.
D. Levothyroxine
Rationale: Medications that increase plasma glucose levels are contraindicated for this client.
Levothyroxine can cause insomnia and headaches but does not affect blood glucose levels.

Answer 1

C. Prednisone

Rationale: Medications that increase plasma glucose levels are contraindicated for this client.

Corticosteroids, such as prednisone, increase plasma levels of glucose levels and cause

hyperglycemia and glycosuria. Prednisone is contraindicated for a client with type 2 diabetes who takes metformin due to its effect on blood glucose levels.

Step-by-step explanation:

The medication that is contraindicated for a client with type 2 diabetes who takes metformin is Prednisone. Prednisone is a corticosteroid that increases plasma glucose levels, causing hyperglycemia and glycosuria. This medication should be avoided in diabetic clients as it can worsen their blood glucose control.