A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications is contraindicated for this client due its effect on blood glucose levels?
Cimetidine
Cephalexin
Prednisone
Levothyroxine
The Correct Answer is C
A. Cimetidine:Cimetidine can indeed increase the effect of metformin due to competition for renal tubular clearance. This can lead to higher levels of metformin in the blood and potentially increase the risk of side effects. While it does not directly contraindicate metformin use, monitoring and dose adjustments might be necessary to manage this interaction.
B. Cephalexin:
Cephalexin is an antibiotic used to treat bacterial infections. It does not have a significant impact on blood glucose levels and is not contraindicated for a client taking metformin.
C. Prednisone:This is a corticosteroid that can increase blood glucose levels. Corticosteroids are known to cause hyperglycemia and may impair glucose control, which can be problematic for someone with diabetes taking metformin.
D. Levothyroxine:
Levothyroxine is a medication used to treat hypothyroidism. It does not have a direct impact on blood glucose levels and is not contraindicated for a client taking metformin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fluid volume overload:
Explanation: Fluid volume overload is not typically associated with urinary incontinence. It is more commonly linked to conditions affecting the heart and kidneys.
B. Kidney stones:
Explanation: Kidney stones are not directly related to urinary incontinence. Kidney stones may cause pain, hematuria (blood in urine), and changes in urinary frequency.
C. Dermatitis:
Explanation: This is correct. Urinary incontinence can lead to skin irritation and dermatitis, especially if the skin is constantly exposed to urine. Keeping the perineal area clean and dry is important to prevent dermatitis.
D. Hypoglycemia:
Explanation: Hypoglycemia is not typically associated with urinary incontinence. It is more related to low blood sugar levels and is not a direct consequence of urinary incontinence.
Correct Answer is C
Explanation
A. High-fiber cereals:
High-fiber cereals may not be suitable for a soft diet, as they can be challenging to chew and may not meet the texture requirements of a soft diet.
B. Raw vegetables:
Raw vegetables are generally not recommended for a soft diet, as they can be difficult to chew and digest. Cooking or steaming vegetables can make them softer and more suitable for a soft diet.
C. Ground beef:
This is the correct answer. Ground beef can be included in a soft diet, especially if it is cooked to a tender consistency. It provides a good source of protein while meeting the requirements of a soft-textured diet.
D. Fruit with the skin:
Fruits with skins may pose a challenge for individuals on a soft diet, as the skin can be difficult to chew and swallow. Choosing peeled or canned fruits without skins may be more appropriate.
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