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 ["B","C"]
Explanation
A. Urinary output of 80 mL/hour is not concerning and indicates adequate renal function.
B. Urinary output of 12 mL/hour is very low and may indicate renal insufficiency or dehydration, requiring immediate intervention.
C. A blood potassium level of 2.5 mEq/L is critically low and requires discontinuation of the diuretic to prevent life-threatening arrhythmias.
D. A blood potassium level of 2.9 mEq/L is also low and would be concerning, though not as critical as
2.5 mEq/L. It may still necessitate withholding the medication and addressing electrolyte imbalances.
Correct Answer is D
Explanation
A. Excretion is the removal of the drug from the body, typically through the kidneys, and is not related to changes in the drug's potency or solubility.
B. Absorption is the process of the drug entering the bloodstream, not a process that alters the drug's chemical form.
C. Distribution is the process by which the drug is spread throughout the body’s tissues and organs, not
the phase where the drug is altered.
D. Metabolism, primarily occurring in the liver, involves the conversion of drugs into more water-soluble forms, which can either increase or decrease their potency.
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