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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice B rationale

Sucralfate (Carafate) acts by forming a viscous, adhesive substance that binds to the ulcer site, creating a physical barrier protecting it from stomach acid and allowing healing.

Choice A rationale

Sucralfate does not function as an endogenous prostaglandin; it does not mimic or enhance prostaglandin activity in the GI tract.

Choice C rationale

Sucralfate does not neutralize gastric acid; that is the function of antacids.

Choice D rationale

Sucralfate does not antagonize H2 receptors on parietal cells; H2 receptor antagonists are a different class of medication.

A. Proto-oncogenes, tumor enhancer genes, and DNA repair genes. B. None of the above. C. Proto-oncogenes and tumor suppressor genes. D. Proto-oncogenes, tumor suppressor genes, and DNA repair genes.

Correct Answer is D

Explanation

Choice A rationale

Tumor enhancer genes is not a recognized term in oncology. DNA repair genes, along with proto-oncogenes and tumor suppressor genes, are critical in cancer development.

Choice B rationale

There are specific genes involved in cancer development, as mentioned in the other options.

Choice C rationale

Proto-oncogenes and tumor suppressor genes are both involved, but DNA repair genes also play a significant role.

Choice D rationale

Proto-oncogenes, tumor suppressor genes, and DNA repair genes collectively contribute to cancer development by either promoting or failing to prevent cell proliferation and damage repair.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to educate a patient who has newly been prescribed sucralfate (Carafate) for the management of peptic ulcer disease (PUD). What is the mechanism of action for this medication?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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