A nurse is reviewing the medication regimen of a client with diabetes who is also prescribed corticosteroids. The nurse should monitor the client for which of the following potential effects?

C) Correct. Metformin is known to cause gastrointestinal upset, including symptoms such as nausea, vomiting, diarrhea, and abdominal discomfort. The client should be advised to monitor for these adverse effects and report them to the healthcare provider if they occur.

A) Incorrect. Hypoglycemia is not a common adverse effect of metformin when used as a monotherapy. However, if metformin is used in combination with other antidiabetic medications that can cause hypoglycemia, the risk may increase.

B) Incorrect. Weight gain is not typically associated with metformin. In fact, metformin may be associated with weight loss or weight stabilization in some individuals.

D) Incorrect. Bradycardia is not a known adverse effect of metformin.

D) Correct. Levothyroxine sodium is used to treat hypothyroidism and aims to normalize thyroid hormone levels. However, excessive doses can lead to hyperthyroidism, characterized by symptoms such as tachycardia, palpitations, and tremors. The client should be instructed to report any signs of hyperthyroidism promptly.

A) Correct. Weight loss is a side effect of levothyroxine therapy in individuals with hypothyroidism.

B) Incorrect. Constipation is a symptom associated with hypothyroidism and should improve with levothyroxine therapy.

C) Incorrect. Cold intolerance is a symptom associated with hypothyroidism and should improve with levothyroxine therapy.

D Incorrect. Levothyroxine sodium is used to treat hypothyroidism and aims to normalize thyroid hormone levels. However, excessive doses can lead to hyperthyroidism, characterized by symptoms such as tachycardia, palpitations, and tremors.