A client who regularly takes metformin has developed a severe infection. How will the infection change the established diabetic regimen?

Metformin will be given more frequently to decrease blood sugar.

Metformin will result in better regulation of blood sugar.

Metformin is contraindicated in the presence of an infection.

Metformin will allow the client to decrease the absorption of glucose

Answer and Explanation

The Correct Answer is C

Metformin is an oral medication used to lower blood sugar levels in clients with type 2 diabetes. It works by decreasing the production and absorption of glucose in the liver and intestines, respectively. However, metformin is contraindicated in clients with severe infections, as the drug can increase the risk of developing lactic acidosis, a rare but serious complication characterized by the buildup of lactic acid in the bloodstream.

During a severe infection, the body may experience a state of inflammation and stress, which can cause metabolic changes that increase the risk of developing lactic acidosis. Therefore, metformin should be temporarily discontinued in clients with severe infections and resumed only after the infection has been successfully treated and resolved.

In the meantime, the client's diabetic regimen may need to be adjusted to maintain appropriate blood sugar levels. This may include the use of alternative medications such as insulin, which can be used to control blood sugar levels during times of illness or infection. The healthcare provider will determine the appropriate management plan based on the individual client's needs and medical history.

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Correct Answer is B

Explanation

When using an insulin pump, the best site for inserting the infusion set is in the abdomen. This is because the abdomen has a higher amount of subcutaneous fat and a larger surface area, which allows for better absorption of the insulin. In addition, the abdomen is more accessible and easier to reach for self-insertion, and it also allows for better flexibility and comfort for the patient during daily activities.

It is important to rotate the infusion set insertion sites within the abdomen to avoid tissue damage and to ensure consistent absorption. Other sites, such as the hip, thigh, or deltoid, may be used but are generally not recommended due to the potential for slower absorption, tissue damage, and discomfort for the patient

A. It should be taken at least 30 minutes before or 2 hours after meals. B. It is best to take it with an antacid C. It should be taken before 09:00 each morning D. The best administration time is at bedtime.

Correct Answer is C

Explanation

Hydrocortisone is a glucocorticoid hormone that is usually prescribed for the treatment of Addison's disease, which is characterized by insufficient production of adrenal hormones. It is important to take hydrocortisone in the morning before 09:00 because this is when the body's natural cortisol levels are at their highest. Taking hydrocortisone at this time can help to mimic the body's natural cortisol production and prevent adrenal crisis. It should be taken with meals to reduce the risk of stomach upset.

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A client who regularly takes metformin has developed a severe infection. How will the infection change the established diabetic regimen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client will be using an insulin pump to deliver a consistent amount of insulin to meet the client's needs. Where should the nurse insert the pump for the maximum amount of absorption?

Correct Answer is B

Explanation

Hydrocortisone has been prescribed to a client for the treatment of Addison's disease What action should the nurse encourage the client to take regarding the selfadministration of this medication?

Correct Answer is C

Explanation

A client will soon begin long-term treatment with hydrocortisone after being diagnosed with Addison's disease. In order to mitigate the potential adverse effect of this treatment regimen, the nurse should encourage the client to increase the intake of what nutrient?

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