Clients taking metformin (Glucophage) should be monitored for this rare but potentially fatal adverse effect:
respiratory acidosis
hyperlipidemia
hypertension
lactic acidosis
The Correct Answer is D
Respiratory acidosis: This is not a typical side effect of metformin.
B. Hyperlipidaemia: Metformin might not directly cause significant hyperlipidaemia.
C. Hypertension: Metformin doesn't typically cause hypertension.
D. Lactic acidosis: This is a rare but serious complication of metformin therapy. It can occur if metformin accumulates in the body due to impaired kidney function or other factors. Monitoring for signs and symptoms is crucial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A 25-year-old male with arthritic pain: Arthritic pain alone does not significantly increase the risk of Type 2 diabetes unless associated with other risk factors like obesity or inactivity.
B. A 12-year-old male with a normal height to weight ratio: A normal height to weight ratio suggests a healthy weight, reducing the immediate risk for Type 2 diabetes, unless other risk factors are present.
C. A 55-year-old female who is 20 pounds overweight: Being overweight, especially with central adiposity, is a significant risk factor for developing Type 2 diabetes. The risk increases with age, particularly in individuals over 45.
D. An 8-year-old female who is developmentally delayed: Developmental delay is not a direct risk factor for Type 2 diabetes unless associated with obesity or a sedentary lifestyle.
Correct Answer is C
Explanation
A. She enjoys an alcoholic beverage twice a week: While alcohol can affect kidney function, occasional moderate intake might not be a major concern for vancomycin.
B. She remains outdoors for long periods of time: Sun exposure is not a major concern for vancomycin.
C. She only has one functioning kidney: This is the most significant factor. Vancomycin is primarily excreted by the kidneys. With only one functioning kidney, there's an increased risk of drug accumulation and potential toxicity if the dose is not adjusted for renal function.
D. She has hypertension: Hypertension itself might not significantly affect vancomycin use, although some medications for hypertension can interact with other drugs.
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