Question

A nurse in an urgent care clinic is obtaining a history from a client who has type 2 DM and a recent diagnosis of HTN. This is the second time in 2 weeks that the client experienced hypoglycemia. Which of the following client data should the nurse report to the provider?

A. Takes psyllium daily as a fiber laxative.
B. Drinks skim milk daily as a bedtime snack.
C. Takes metoprolol daily after meals.
D. Drinks grapefruit juice daily with breakfast.

Answer 1

The nurse should report that the client drinks grapefruit juice daily with breakfast, as it can interact with the hypertension medication. The correct answer is option D.

Step-by-step explanation:

The nurse should report to the provider that the client drinks grapefruit juice daily with breakfast. Grapefruit juice can interact with some medications, including metoprolol, which the client is taking for hypertension. This can increase the concentration of the medication in the body, potentially leading to hypoglycemia in a patient with type 2 diabetes.

While the other options, such as taking psyllium daily as a fiber laxative or drinking skim milk as a bedtime snack, may be relevant to the client's overall health, they are not directly related to the increased risk of hypoglycemia. It is important to prioritize informing the provider about the potential drug interaction.

Overall, the nurse should ensure the healthcare provider is aware of all aspects of the client's medication and dietary habits to provide safe and effective care.