A patient has been prescribed metformin for treatment of type 2 diabetes. Which teaching would the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "You are likely to have one or two episodes of hypoglycemia while your body adjusts to this medication.".
2. "If you need any diagnostic testing that requires radiocontrast dye, be certain to report that you are taking metformin.".
3. "You may have mild stomach upset at first when taking this medication.".
4. "Take this medication just before you begin to eat.".
5. "You may develop a persistent cough while taking metformin.".
2,3
Rationale 1: Metformin is not likely to produce hypoglycemia.
Rationale 2: Metformin should be discontinued prior to any procedure using radiocontrast dye.
Rationale 3: Gastrointestinal upset is common at the beginning of metformin therapy.
Rationale 4: There is no indication that metformin should be taken immediately preceding a meal. It is often taken at night.
Rationale 5: A cough is not a side effect of metformin.
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