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.
Correct Answer: 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.
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A patient with arthritis is admitted to the hospital. The patient's serum glucose level is 350 gm/dL, and the blood pressure is 182/98 mm Hg. The nurse notes that the patient's face appears rounded and puffy. The patient complains of feeling weak. What will the nurse do?
a. Ask which drugs the patient takes for arthritis. b. Contact the provider to discuss whether the patient has a pituitary carcinoma. c. Request an order for ketoconazole [Nizor-al]. d. Suspect that this patient has Addison's disease.
While performing the primary survey on a trauma victim, the patient is answering your questions. You may assume that during the time of the questioning:
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A nurse is assessing the safety in the community using primary data. Which of the following data would be useful for the nurse to collect? (Select all that apply.)
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The nurse is concerned about pulmonary aspiration when providing her patient with tube feedings. The nurse should
a. Verify tube placement before feeding. b. Lower the head of the bed to a supine position. c. Add blue food coloring to the enteral formula. d. Run the formula over 12 hours to decrease volume.