Clients taking metformin (Glucophage) should be monitored for this rare but potentially fatal adverse effect:

respiratory acidosis

hyperlipidemia

hypertension

lactic acidosis

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. "I can quit taking this medication when I feel better.": Incorrect. Antibiotics should be taken for the full prescribed duration to ensure the infection is fully treated and to prevent resistance.
B. "I cannot smoke while taking this medication.": Incorrect. While smoking cessation is generally beneficial for health, it is not specifically contraindicated with clarithromycin.
C. "I cannot drive while taking this medication.": Incorrect. Clarithromycin does not typically impair the ability to drive.
D. "I need to take this medication until it is gone.": Correct. This statement indicates understanding that the entire course of antibiotics should be completed to ensure effectiveness and prevent resistance.

A. Ketoacids B. Hyperglycemia C. Hypoglycemia D. Glucagon

Correct Answer is B

Explanation

A. Ketoacids: This is incorrect. While ketoacids are a by-product of fat metabolism that occurs when insulin is low, they do not directly stimulate insulin secretion.
B. Hyperglycaemia: This is correct. Elevated blood glucose levels (hyperglycaemia) directly stimulate the pancreas to secrete insulin to help lower blood glucose levels.
C. Hypoglycaemia: This is incorrect. Low blood glucose levels (hypoglycaemia) would reduce insulin secretion and might increase glucagon secretion to raise blood glucose levels.
D. Glucagon: This is incorrect in the context of directly stimulating insulin secretion. Glucagon is a hormone secreted by the alpha cells of the pancreas when blood glucose levels are low. Its primary role is to increase blood glucose levels by stimulating glycogenolysis and gluconeogenesis in the liver.

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Clients taking metformin (Glucophage) should be monitored for this rare but potentially fatal adverse effect:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discharging a client to home with a prescription for clarithromycin (Biaxin). The nurse knows that teaching has been effective when the client states:

Correct Answer is D

Explanation

Which of the following stimulates the pancreas to secrete insulin?

Correct Answer is B

Explanation

Before administering cefazolin (Ancef), the nurse checks for a previous allergic reaction to:

The nurse is caring for a client who is being discharged with a prescription for tetracycline. Which of the following statements, if made by the client. demonstrates an understanding of the discharge instructions?

Acquired resistance is:

Untreated or improperly treated diabetes is the primary cause of the following: (Select All that Apply.)

A patient at a rehabilitation center is prescribed erythromycin. The nurse is reviewing the patient's medication list, checking to see if there are medications that should not be taken with this antibiotic. One medication is found. What medication should not be taken with erythromycin?

Drug therapy of tuberculosis differs from that of most other infections because:

Why must the nurse instruct a patient receiving metformin (Glucophage XL) to avoid crushing or chewing the medication?

Which of the following complaints by a man taking gentamycin would be most indicative that he is experiencing ototoxicity?