In formulating the teaching plan for a patient who is taking the oral hypoglycemic agent metformin (Glucophage), the nurse should include which priority instruction? "Notify your healthcare provider if

1. you need a diagnostic test that uses iodinated contrast."
2. your urine becomes orange or red-tinted."
3. your urine becomes more concentrated."
4. you need an intermittent or indwelling urinary catheterization."


Correct Answer: 1
Oral hypoglycemic agents are contraindicated for use with iodinated contrast, as the combination of the two can precipitate renal failure. Patients should be taught to inform all healthcare providers if they have a prescription for an oral hypoglycemic agent. Orange or red-tinted urine, concentrated urine, and urinary catheterizations have no interaction with metformin.

Nursing

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