A client presents to the clinic with a new diagnosis of type 2 diabetes and wants to know more information on metformin. Which of the following statements are TRUE regarding metformin (Glucophage)? (Select All That Apply.).
Metformin interacts with lodine-containing contrast dye, which can increase the risk of acute renal failure.
Metformin comes in an oral form
A complication of metformin is weight gain
Metformin is used as a first-line medication for type 2 diabetes.
Correct Answer : A,B,D
A. Metformin interacts with iodine-containing contrast dye, increasing the risk of acute renal failure. Clients should temporarily stop metformin before undergoing contrast procedures.
B. Metformin is available in an oral form and is commonly prescribed for type 2 diabetes.
C. Weight gain is not a common side effect of metformin; in fact, it is often associated with weight neutrality or mild weight loss.
D. Metformin is typically used as a first-line medication for managing type 2 diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Distribution: This phase involves the transportation of the drug throughout the body after absorption, not removal.
B. Metabolism: This phase involves the chemical alteration of the drug in the body, often in the liver, not its removal.
C. Absorption: This phase involves the drug entering the bloodstream after administration.
D. Excretion: This is the phase where the drug or its metabolites are removed from the body through various routes such as the kidneys, gastrointestinal tract, skin, or lungs.
Correct Answer is B
Explanation
A. This is not the correct action because the issue with misoprostol in pregnancy is not related to the route of administration, but rather its potential to cause uterine contractions and harm to the pregnancy. The nurse should not administer the medication at all, regardless of the route, and should notify the physician for further clarification.
B. Misoprostol is contraindicated in pregnancy because it can cause uterine contractions, which may result in a miscarriage or preterm labor. The nurse should not administer this medication and must inform the healthcare provider to reconsider the prescription or explore alternative options to prevent stomach ulcers in pregnant clients.
C. Administering misoprostol to a pregnant client is dangerous, as it can stimulate uterine contractions and threaten the pregnancy. Monitoring for adverse reactions would not be an appropriate course of action, as the medication should not be given to begin with.
D. Even though verifying the patient's identity is always an important step, the main concern here is that misoprostol is contraindicated during pregnancy. The nurse should not administer this medication and must first clarify with the healthcare provider if it is suitable for the pregnant patient.
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