A patient with type 2 diabetes mellitus is prescribed metformin (Glucophage). What should the nurse assess and monitor in this patient? (Select all that apply.)
a. Weight gain
b. Fluid retention
c. Family history of glaucoma
d. Presence of renal or hepatic disease
e. Presence of congestive heart failure (CHF)
f. Need for diagnostic tests involving use of contrast dyes
ANS: B, C, D, E, F
Withhold if the patient is having tests involving contrast dye. It is contraindicated in renal and hepatic disease and CHF. Notify physician of early symptoms of lactic acidosis: hyperventilation, myalgia, and malaise. A. Glucophage may enhance weight loss, not gain. C. A family history of glaucoma is not a contraindication for this medication.
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The population health care is planning to make a visit to the home of a new community member who is recovering from major surgery. What observations should the nurse identify as advantages to making this home visit? (Select all that apply.)
1. Client's home is neat, clean, and cheerful. 2. Client and spouse sit together in the living room. 3. Client ambulates safely with the use of a walker. 4. Client requests no further visits because the neighbors will know. 5. Client states that no care is needed because insurance won't cover it.
A pediatric nurse is educating the client with sickle cell disease and the client's family regarding the genetic implications of the disease. Which information is inappropriate for the nurse to share with the client's family?
A) If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 50%. B) The disorder is transmitted as an autosomal recessive genetic defect. C) The sickle cell gene may have originated to protect against lethal forms of malaria. D) In African-Americans, sickle cell disease occurs in 1 out of every 500 births.
Which of the following substances is most likely to enhance the activity of the reticular formation?
A. Alcohol B. Amphetamines C. Barbiturates D. Depressants
Kevin, a 12-year-old boy, grew up with his pet dog, Sparky, who was almost the same age as Kevin. Age-related health complications caused Sparky?s death, following which Kevin was distraught. He was depressed for more than a week and refused to go to school. The type of depression affecting Kevin is termed ________.
A. major depressive disorder B. bipolar mood disorder C. mania D. exogenous depression