An older adult client with signs of renal impairment has been switched from metformin (Glucophage), an oral antidiabetic, to nateglinide (Starlix). What do you suspect the rationale is for switching from metformin to nateglinide?
a. Metformin can be dangerous to older people with reduced renal function.
b. The nateglinide may be more affordable.
c. The client was exhibiting signs of tolerance to the metformin.
d. The metformin has lost its efficacy.
a. Metformin can be dangerous to older people with reduced renal function.
FEEDBACK:
a. Metformin can be dangerous to older people with reduced renal function.
b. There is not enough information given to make that assumption. .
c. This is not the reason. .
d. The metformin may have still been effective in treating the diabetes; however, the risk outweighs the benefits in this situation. .
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