The nurse decides to withhold a prescribed dose of metformin to a client after reviewing the medical record. For which conditions is this medication contraindicated or used with caution?
Standard Text: Select all that apply.
1. Impaired renal function
2. Congestive heart failure
3. Hyperthyroidism
4. Septicemia
5. Sleep apnea
Correct Answer: 1,2,3,4
Rationale 1: Metformin is contraindicated in clients with impaired renal function.
Rationale 2: Metformin is contraindicated in clients with heart failure.
Rationale 3: Metformin is used with caution in clients with hyperthyroidism.
Rationale 4: Metformin is contraindicated in clients with a concurrent serious infection.
Rationale 5: Metformin is not contraindicated in clients with sleep apnea.
Global Rationale: Metformin is contraindicated in clients with impaired renal function, heart failure, hyperthyroidism, or a concurrent serious infection. It is not contraindicated in those with sleep apnea.
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A child's genetic disorder is attributed to trisomy. How would the nurse explain this concept to the parents?
1. "Trisomy is a mistake that occurs during chromosome sorting as the egg and sperm develop." 2. "Trisomy occurs when part of a chromosome is copied more than once." 3. "Trisomy occurs when part of a chromosome is lost." 4. "Trisomy occurs when a fertilized egg has 47 chromosomes instead of 46."
The feasibility of a study should be considered in light of:
A. cost and time required to conduct the study. B. skills required of the researcher. C. potential ethical concerns. D. all of the above
A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this education?
A) To help the client develop self-care abilities B) To ensure the client will return for follow-up care C) To facilitate complete recovery from the disease D) To implement ordered teaching and counseling
Nurses who have a community orientation have often been considered unique because of their target of practice. However, historically
1. Nurses have always practiced in health care facilities. 2. Nursing was restricted by geographic boundaries. 3. Schools, prisons, industries, and neighborhood centers were the settings for the practice of nurses. 4. The environment for nurses was the home rather than the hospital at the turn of the century.