A patient with hepatitis B tells the nurse “I heard metformin decreases blood sugar.” What is the best response by the nurse?
Select one:
"I need to practice safe sex to prevent spreading the virus."
"I can donate blood once I feel better."
"I should eat a well-balanced diet to support liver health."
"I should avoid drinking alcohol."
The Correct Answer is D
A. While practicing safe sex is important to prevent transmission of hepatitis B, it does not address the patient’s question about metformin and liver health.
B. Clients with hepatitis B should not donate blood due to the risk of virus transmission, but this is unrelated to metformin use.
C. A well-balanced diet is important for liver health, but this is a general recommendation and does not directly relate to the concern about blood sugar or medication use.
D. Metformin is processed in the liver, and in individuals with hepatitis B (a liver disease), alcohol can worsen liver damage. The best response is to avoid alcohol, as it could compound liver injury when using liver-metabolized medications like metformin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Completing an incident report is important for documentation and quality improvement, but it is not the immediate priority.
B. Contacting the provider is appropriate after assessing the patient’s current status.
C. Administering a carbohydrate snack may be necessary if the blood glucose is low, but it should be guided by actual glucose results.
D. The priority is to assess the client’s current blood glucose level to determine if hypoglycemia is developing due to unnecessary insulin administration. This ensures that timely corrective measures can be taken based on the actual reading.
Correct Answer is D
Explanation
A. "I have no appetite." –Anorexia is a common symptom of appendicitis and is not alarming on its own.
B. "The pain hurts so much it is making me nauseous." –Nausea and severe pain are typical manifestations of appendicitis and do not require emergency intervention unless they worsen suddenly.
C. "If I position myself on my right side, it makes the pain less intense." –Patients often adjust positions for comfort, and this statement is not cause for alarm.
D. "The pain seems to be gone now." –Sudden disappearance of pain in a patient with appendicitis can indicate rupture of the appendix, which is a surgical emergency. This may lead to peritonitis and sepsis, requiring immediate medical attention.
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