A client is newly prescribed with metformin (Glucophage) for type 2 diabetes.Which of the following statements indicate that the client understands the teaching of metformin?
Metformin is used as a first-line medication for type 2 diabetes.
Metformin interacts with contrast dye which can increase the risk of acute renal failure.
Metformin is used to increase blood glucose.
Metformin does not cause weight gain.
The Correct Answer is B
Choice A rationale
While metformin is commonly used as a first-line medication for type 2 diabetes, this choice does not specifically address a critical safety concern related to metformin.
Choice B rationale
Metformin can interact with contrast dyes used in imaging studies, increasing the risk of acute renal failure due to lactic acidosis. Patients need to be aware of this interaction to avoid potential complications.
Choice C rationale
Metformin is used to lower blood glucose levels, not increase them. This choice is incorrect.
Choice D rationale
While metformin is associated with less weight gain compared to other diabetes medications, this choice does not address the critical interaction with contrast dye.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Albuterol is a bronchodilator used to relax muscles in the airways and increase airflow to the lungs. It is primarily used in conditions such as asthma and chronic obstructive pulmonary disease (COPD), not as a decongestant.
Choice B rationale
Beclomethasone is a corticosteroid used to reduce inflammation in conditions such as asthma and allergic rhinitis. While it helps with symptoms, it is not classified as a decongestant.
Choice C rationale
Diphenhydramine is an antihistamine that alleviates allergy symptoms by blocking histamine action. It can relieve sneezing, itching, and runny nose but is not classified as a decongestant.
Choice D rationale
Phenylephrine is a decongestant that works by constricting blood vessels in the nasal passages. This reduces swelling and congestion, making it effective for managing symptoms of allergic rhinitis. .
Correct Answer is A
Explanation
Choice A rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps lower blood pressure by relaxing blood vessels. It is often prescribed for clients who cannot tolerate angiotensin-converting enzyme (ACE) inhibitors like Captopril or Lisinopril due to side effects such as a persistent cough.
Choice B rationale
Digoxin is a medication primarily used to treat heart failure and atrial fibrillation. It is not typically prescribed for the management of hypertension as it does not directly lower blood pressure.
Choice C rationale
Captopril is an ACE inhibitor that can cause a persistent cough in some patients. Since the client has experienced this side effect, it is unlikely that Captopril would be prescribed again.
Choice D rationale
Lisinopril is another ACE inhibitor, similar to Captopril. Given the client's history of a cough caused by ACE inhibitors, Lisinopril is also not a suitable option.
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