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 A
Explanation
Choice A rationale
Stopping the infusion immediately is crucial to prevent further exposure to the allergen causing the adverse reaction. This intervention halts the administration of gentamicin, which is likely causing the dyspnea, rash, and itchiness. Prompt discontinuation of the medication minimizes the severity of the allergic reaction and allows for further medical management.
Choice B rationale
Administering an IV fluid bolus to flush the medication is not the priority intervention in this case. While it might help to clear the medication from the bloodstream, it does not address the immediate need to stop the allergen exposure and manage the allergic reaction.
Choice C rationale
Encouraging the client to take deep breaths and remain calm is supportive, but it does not address the root cause of the allergic reaction, which is the administration of gentamicin. The immediate priority is to stop the infusion and then manage the symptoms.
Choice D rationale
Administering oxygen via nasal cannula may help alleviate respiratory distress, but it is not the priority intervention. The primary step is to stop the infusion to prevent further exposure to the allergen.
Correct Answer is B
Explanation
Choice A rationale
Excretion is a phase of pharmacokinetics where the drug or its metabolites are eliminated from the body, primarily via the kidneys.
Choice B rationale
Phlebitis is inflammation of a vein and is not a phase of pharmacokinetics. It is a medical condition rather than a pharmacokinetic process.
Choice C rationale
Distribution is a phase of pharmacokinetics where the drug is dispersed throughout the body’s tissues and fluids after absorption.
Choice D rationale
Absorption is a phase of pharmacokinetics where the drug is absorbed into the bloodstream from the site of administration.
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