Which instruction is most important for the nurse to teach a patient with diabetes who is receiving metformin?
a. Take the medication before meals.
b. This medication will cause the pancreas to secrete more insulin.
c. Stop taking the drug 24 to 48 hours prior to radiopaque dye procedures.
d. There may be an increase in the triglyceride level.
ANS: C
Radiopaque dyes often induce temporary renal insufficiency, so metformin should be discontinued 24 to 48 hours before procedures in which radiopaque dye will be administered. Metformin is not administered before meals. The pancreas does not secrete more insulin as a result of taking this medication. Metformin does not increase triglyceride levels.
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In the preoperative phase of the patient awaiting cardiac surgery, a nurse should:
A) Clarify medication regimen preoperatively B) Not alter medication regimen preoperatively C) Save teaching material until after the surgery D) Not discuss fears with the patient to avoid worsening them
If a woman's fundus is soft 30 minutes after birth, the nurse's first response should be to
a. Take the blood pressure. b. Massage the fundus. c. Notify the physician or nurse-midwife. d. Place the woman in Trendelenburg position.
A quasi-experimental study design would be a better choice for a research study than an experimental study design in which of these situations?
a. The study is to be conducted in a laboratory setting. b. An experimental treatment is not part of the study. c. The researcher has not conducted research before. d. Full experimental control is not possible.
A client is receiving an intradermal injection to evaluate general immunity during a nutritional assessment. Which of the following would the nurse need to keep in mind about malnutrition if the client has no reaction?
A) It indicates high cholesterol and triglyceride levels. B) It shows a sacrifice of skeletal muscle proteins and blood proteins. C) It assesses unhealthy dietary habits. D) It indicates immunosuppression resulting from undernourishment.