The client diagnosed with diabetes mellitus type 2 is scheduled for bowel resection in the morning. Which, medication should the nurse question administering to the client?
Metformin (Glucophage), a sulfonylurea decreases hepatic glucose production
Bisacodyl (Dulcolax) a cathartic laxative
Clopidogrel (Plavix) a platelet aggregate inhibitor.
Ticarcillin (Timentin), an extended-spectrum antibiotic.
The Correct Answer is A
A. Metformin (Glucophage), a sulfonylurea decreases hepatic glucose production: Metformin is a biguanide, not a sulfonylurea. Metformin is generally held perioperatively (and around contrast or if renal function may be impaired) because of the rare risk of lactic acidosis and because fasting/contrast/renal changes increase that risk.
B. Bisacodyl (Dulcolax) a cathartic laxative: Acceptable pre-op in some cases (stool evacuation may be desired for bowel surgery), not the highest immediate concern.
C. Clopidogrel (Plavix) a platelet aggregate inhibitor: Might be held depending on bleeding risk, but it's not automatically contraindicated unless specified by the surgical team.
D. Ticarcillin (Timentin), an extended-spectrum antibiotic: Antibiotics are often continued or given perioperatively per surgical prophylaxis orders; not automatically contraindicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
No explanation
Correct Answer is C
Explanation
A. Hypoglycemia: Hypokalemia is not primarily associated with hypoglycemia.
B. Hyperreflexia: Hypokalemia typically causes muscle weakness and decreased reflexes (not hyperreflexia).
C. Cardiac dysrhythmias: Hypokalemia (K⁺ 3.0) predisposes to cardiac conduction disturbances and dysrhythmias-monitor ECG and replace potassium as ordered.
D. Increased appetite: Increased appetite is not an expected physiologic response to hypokalemia from loop diuretics.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
