Clients who take metformin should be aware that:

a. the drug should be withheld for at least 48 hours after the use of IV contrast.
b. they may self-adjust the dosage of the drug as needed.
c. some clients develop respiratory acidosis as an adverse effect of this therapy.
d. the drug acts by decreasing pancreatic glucose production.


ANS: A

Feedback
A Correct: Because of the risk of lactic acidosis, metformin should not be given within 24 hours after IV contrast is used.
B Incorrect: This medication should only be adjusted by the health care provider.
C Incorrect: Some clients develop lactic (metabolic) acidosis.
D Incorrect: The pancreas does not produce glucose.

Nursing

You might also like to view...

An elderly patient in the ICU with chronic renal failure has just undergone surgery for a synthetic arteriovenous graft in her left forearm for dialysis access

The nurse recognizes that the most likely reason this patient received a graft instead of a fistula is which of the following? A) Thrombosis is less likely to occur with grafts than with fistulas. B) Fistulas are more prone to infection than are grafts. C) The patient's own blood vessels were not adequate for fistula formation. D) An aneurysm is more likely to occur in a fistula than in a graft.

Nursing

The RN receives reports on eight clients in the morning. Client assignments are then delegated to an LPN and two nursing assistants

The morning is busy, with physician visits and new client orders, and the RN communicates these new orders to the LPN and nursing assistants. The RN also meets with the case manager to discuss nursing home placement for a client. What type of nursing care delivery system is in place in this hospital? 1. Critical pathways 2. Total patient care 3. Team nursing 4. Functional nursing

Nursing

The student nurse is ambulating with a blind patient. Which actions indicate the need for further instruction by the nursing instructor? (Select all that apply.)

a. The student nurse holds the patient's do-minant arm. b. The student nurse allows the patient to put both hands on his shoulders. c. The student nurse allows the patient to hold the nurse's arm. d. The student nurse holds the patient's hand. e. The student nurse walks just behind the patient.

Nursing

The nurse is assessing the following laboratory results of a client before discharge

Which instruction does the nurse include in this client's discharge teaching plan? Test Result Hemoglobin 15 g/dL Hematocrit 45% White blood cell (WBC) count 2000/mm3 Platelet count 250,000/mm3 a. "Avoid contact sports." b. "Do not take any aspirin." c. "Eat a diet high in iron." d. "Perform good hand hygiene."

Nursing