The physician has ordered Metformin (Glucophage) for a client with type 2 diabetes. The nurse plans to teach the client which of the following about this medication?
1. It stimulates the beta cells of the pancreas to secrete insulin.
2. It has the potential to induce hypoglycemia in older clients.
3. It is contraindicated in clients with renal insufficiency.
4. It has adverse effects, including weight gain and elevated blood lipid levels.
3. It is contraindicated in clients with renal insufficiency.
Rationale:
Metformin (Glucophage) is contraindicated for clients with renal insufficiency and clients over age 80. It is a biguanide that improves insulin sensitivity by enhancing glucose uptake and use of the muscles. It rarely causes hypoglycemia. Additional beneficial effects include mild weight loss and improved lipid profiles in clients with high lipid levels.
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An important factor to remember about the homeless is that
a. government insurance is available to them b. the majority of them have a form of mental illness or addiction c. health care facilities are readily accessible to them d. employment is available to them when they choose to work
Calculate the maximum flow rate for this patient:__________
Fill in the blank(s) with correct word
The nurse working in an obstetrician's office determines that which client is at high risk for prenatal loss? (Select all that apply)
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1. Community assessment to define one problem that nurses will focus on for any given year. 2. The definition of community is a social network of interacting individuals usually in a defined territory. 3. Prevention strategies are used to minimize the effects of occurrences from the last year. 4. Public health nurses intervene at the population level only after doing community assessments.