The client receives metformin (Glucophage). What will the best plan by the nurse include with regard to patient education with this drug?
1. It decreases sugar production in the liver.
2. It inhibits absorption of carbohydrates.
3. It stimulates the pancreas to produce more insulin.
4. It reduces insulin resistance.
5. It increases energy use.
1,4
Rationale 1: Metformin (Glucophage) decreases sugar production (gluconeogenesis) in the liver.
Rationale 2: Metformin (Glucophage) does not inhibit the absorption of carbohydrates.
Rationale 3: Metformin (Glucophage) reduces insulin resistance.
Rationale 4: Metformin (Glucophage) reduces insulin resistance.
Rationale 5: Metformin (Glucophage) does not increase energy use.
Global Rationale: Metformin (Glucophage) decreases sugar production (gluconeogenesis) in the liver and reduces insulin resistance. Metformin (Glucophage) does not inhibit the absorption of carbohydrates or increase energy use.
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The nurse is caring for a patient with a large venous leg ulcer. What intervention should the nurse implement to promote healing and prevent infection?
A) Provide a high-calorie, high-protein diet. B) Apply a clean occlusive dressing once daily and whenever soiled. C) Irrigate the wound with hydrogen peroxide once daily. D) Apply an antibiotic ointment on the surrounding skin with each dressing change.
A critical care nurse is caring for a client with an endotracheal tube who is on a ventilator. The nurse knows that meticulous airway management of this patient is necessary. What is the rationale for this?
A) Maintaining a patent airway B) Preventing the need for suctioning C) Decreasing the patient's time on the ventilator D) Increasing the patient's lung compliance
You are learning that extrapyramidal side effects can occur with the use of antipsychotic drugs. Your instructor asks you to do a short presentation for the class
a. What are the main antipsychotic drugs used in therapy? b. What are the extrapyramidal side effects associated with them? c. How do they act? d. What should you have the client do?
A patient, who was intubated with a nasotracheal tube for 5 days, is complaining of right ear pain and altered hearing. Which of the following might be the cause for the patient's complaint?
1. ineffective airway clearance 2. temporary occlusion of eustachian tubes while intubated caused an inner ear infection 3. underlying pneumonia 4. immunosuppression