A 59-year-old man with type 2 diabetes is prescribed metformin. When the patient returns to the clinic, he reports that he has lost 8 pounds in a month. How should the nurse respond?
A) "We should really report this to your physician. The metformin dosage will need to be decreased."
B) "We should really report this to your physician. He will likely change medications."
C) "Please continue taking the medication and monitoring your weight. This is an expected outcome of this drug therapy."
D) "You should discontinue this medication immediately. I will contact your physician."
C
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Directions: Convert the following weight as indicated. Round weight to the nearest tenth
6.4 lb = _____ kg
A person takes sertraline (Zoloft) 100 mg PO daily for posttraumatic stress disorder. Which change in sleep is likely secondary to this medication? The patient will have:
a. more dreams. b. less REM sleep. c. excessive sleepiness. d. less slow-wave sleep.
Which of the following nursing actions would help minimize the psychosocial impact of bladder and/or bowel incontinence for individuals experiencing incontinence prior to going to a group dining room?
a. Assess for soiled clothing and change, if necessary. b. Toilet the client and then promptly transport to the dining room. c. Provide peri-care and fresh underclothing. d. Ask the client if toileting is needed and assist as necessary.
The nurse notes that a Vietnamese woman does not cuddle or interact with her newborn other than to feed him, change his diapers or soiled clothes, and put him to bed. In eva-luating the woman's behavior with her infant, the nurse realizes that:
a. What appears to be a lack of interest in the newborn is in fact the Vietnamese way of demonstrating intense love by attempting to ward off evil spirits. b. The woman is inexperienced in caring for newborns. c. The woman needs a referral to a social worker for further evaluation of her pa-renting behaviors once she goes home with the newborn. d. Extra time needs to be planned for assisting the woman in bonding with her newborn.