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. This medication is an osmotic diuretic that reduces intracranial pressure: Furosemide is a loop diuretic, not an osmotic diuretic.
B. This medication works on the distal tubule of the kidney: Furosemide works on the loop of Henle, not the distal tubule.
C. An adverse effect of this medication is hyperkalemia: Furosemide can cause hypokalemia, not hyperkalemia.
D. This medication is used for pulmonary edema caused by heart failure: Furosemide is commonly used to treat fluid retention and pulmonary edema caused by heart failure.
Correct Answer is B
Explanation
A. Insomnia is not a serious adverse effect of ethinyl estradiol and drospirenone (Yasmin). Common side effects may include nausea or headaches, but insomnia is not a red flag.
B. This could indicate deep vein thrombosis (DVT), a serious complication associated with hormonal contraceptives like Yasmin. The nurse should educate the patient to report these symptoms immediately.
C. Sedation is not a common or serious adverse effect of Yasmin. Side effects are more commonly related to gastrointestinal or cardiovascular systems.
D. Indigestion is not typically associated with a serious complication of Yasmin. Some mild gastrointestinal discomfort may occur, but it is not a major concern unless it is severe.
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