The nurse is teaching a newly diagnosed diabetic patient about metformin. What information does the nurse include? (Select all that apply.)
a. Alcohol intake should be limited and tak-en with food.
b. Overweight patients sometimes poorly tolerate metformin.
c. Oral hypoglycemic agents can increase the risk of hyperglycemia.
d. Metformin has been the cause of anorexia in older patients.
e. Oral hypoglycemic agents affect vitamin D absorption.
A, D
Studies indicate that metformin, classified as a biguanide, may be the drug of choice for over-weight patients. Side effects such as anorexia, nausea, and abdominal discomfort may, however, limit its use in older adults. Alcohol can decrease hypoglycemic awareness, so metformin should only be ingested with food. Alcohol use should also be limited.
You might also like to view...
The nurse anticipates that the physician will most likely order a cervico-vaginal fetal fibronectin test for which patient?
1. The patient at 34 weeks' gestation with gestational diabetes 2. The patient at 32 weeks' gestation with regular uterine contractions 3. The patient at 37 weeks' multi-fetal gestation 4. The patient at 20 weeks' gestation with ruptured amniotic membranes
How did Florence Nightingale influence spirituality as an aspect of nursing practice?
A) She believed that prayer was a private practice. B) She maintained that nursing should emphasize scientific methods in providing care. C) She considered moral conduct the foundation of nursing practice. D) She viewed nursing as a spiritual process.
If a child is to be admitted to hospital for an elective procedure, benefit may be gained from:
a. a preadmission visit. b. detailed leaflets on their procedure. c. a and b. d. none of the above.
Ketoconazole (Nizoral) is prescribed for an assigned client. The nurse prepares to administer the medication:
1. With food 2. With an antacid 3. With 8 oz of water 4. On an empty stomach