A nurse is reviewing possible first-line medications for a new, older type 2 diabetic. What contraindication does the nurse identify for metformin (Glucophage)?
a. Patient drinks three to four alcoholic drinks/day
b. Patient's parents both took insulin
c. Creatinine 0.9 mg/dL
d. Potassium 3.8 mEq/dL
A
Patients with hepatic or renal dysfunction should not take metformin. A patient who drinks as much as three to four alcoholic drinks a day has a real risk of liver disease. The use of insulin by the parents is not related. Both kidney lab values are normal.
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A patient is prescribed a drug that has an extremely short half-life for chest pain (angina). Which modification in drug dosage or scheduling does the nurse expect?
a. Once-daily dosing b. More frequent dosing c. Larger first dose and smaller repeat doses d. Parenteral doses greater than enteral doses
A client is prescribed multiple medications for hypertension. The client asks the nurse which of the medications prescribed is an ACE inhibitor. Which response by the nurse is appropriate?
1. Furosemide (Lasix) 2. Amlodipine (Norvasc) 3. Ramipril (Altace) 4. Metoprolol (Lopressor)
A student nurse is observing an EKG rhythm on a monitor and observes a sawtooth appearance, the student nurse knows this is a characteristic of which of the following?
a. Atrial flutter b. Supraventricular tachycardia c. Atrial fibrillation d. Third degree heart block
To assess the competence of venous valves in clients who have varicose veins, the nurse:
a. Notes how quickly veins fill after lifting one leg above the level of the heart. b. Assesses for Homan's sign in both lower extremities while the client is supine. c. Assesses capillary refill on the toes of both feet while the client is sitting in the chair. d. Measures the circumference of both calves and compares the results.