A nurse is caring for a client taking metformin. He is going over teaching. Which of the following statements by the client shows that they have an understanding of the drug?
"I will have to increase my vitamin K because it is a common deficiency with this drug"
"I will need to be careful shaving and should switch to an electric razor"
"When I go for any procedures using iodine contrast I will need to let me doctor know I'm on this drug
"I need to check my pulse for a full minute before taking"
The Correct Answer is C
A. Metformin does not affect vitamin K levels, so there is no need to increase vitamin K intake with this drug.
B. Shaving precautions are not related to metformin therapy.
C. Metformin can interact with iodine contrast used in imaging procedures, potentially increasing the risk of lactic acidosis, so it's important for the client to inform healthcare providers about their metformin use before such procedures.
D. Checking the pulse for a full minute before taking medication is not necessary for metformin administration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. A medical record can indeed be used as evidence in a court of law to support or refute claims related to patient care.
B. Documentation should be organized and timely to ensure accuracy and continuity of care.
C. Documentation should not include the nurse's interpretation but rather objective data and actions taken.
D. Data in a client's medical record should only be shared with those directly involved in the client's care unless otherwise authorized.
E. Information recorded in the client's medical record must be accurate and complete to support safe and effective client care and legal purposes.
Correct Answer is B
Explanation
A. Sublingual medications are meant to be absorbed under the tongue and should not be administered through an NG tube, which bypasses this route of absorption.
B. Administering the medication under the tongue is the correct route for sublingual administration. It ensures that the medication is allowed to dissolve completely and is not swallowed immediately. This allows for the intended rapid absorption through the sublingual route.
C. If a client has an NG tube and needs a medication that is typically given sublingually, the nurse should administer the medication under the tongue.
D. Dissolving sublingual medication in water for NG tube administration is not appropriate as it alters the intended route of absorption.
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