What is the advantage of giving metformin, a biguanide, to a client requiring oral hypoglycemic agents?

a. It can be administered on a more flexible schedule.
b. It does not have the major side effects of nausea, abdominal discomfort, and diarrhea.
c. It does not increase insulin release or produce hypoglycemic episodes.
d. It does not tend to react with other medica-tions.


C
Metformin (Glucophage), a biguanide, does not increase insulin but works by making existing insulin more effective at the cellular level.

Nursing

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Sullivan's interpersonal theory focusing on the client's relationships with others and modes of interacting with others is most similar to the theory developed by:

1. Emil Kraepelin. 2. Karl Menninger. 3. B. F. Skinner. 4. Sigmund Freud.

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The patient has pulseless electrical activity (PEA). The doctor decides that the cause of the PEA is pericardial tamponade. What is the most appropriate treatment for pericardial tamponade?

a. Atropine b. Chest tube placement c. Pericardiocentesis d. Transcutaneous pacemaker

Nursing

The discharge teaching plan for the postpartum woman includes information about expected vaginal discharge. Which statement should be included?

a. Lochia normally has an offensive odor. b. Bright-red bleeding, called lochia rubra, will continue for 10 to 14 days. c. Small blood clots are normal in lochia rubra, lochia serosa, and lochia alba. d. Notify your health care provider if lochia does not become lighter in color by the fourth postpartum day.

Nursing

The closed bed is made when the patient is

A) up in a chair at the bedside. B) in bed. C) discharged. D) having surgery.

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