The patient is being considered for treatment with the drug metformin (Glucophage). The health care provider recognizes that a contraindication to use of this drug with this patient would be his history of:
a. Asthma
b. Chronic bronchitis
c. Renal disease
d. Enlarged prostate
ANS: C
Metformin is contraindicated for use in patients with renal disease because of the tendency for the drug to accumulate.
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A surgical patient has been diagnosed with type 2 diabetes during his current admission to the hospital
The nurses and other members of the care team have attempted to engage the patient in education about his new diagnosis, the effects it will have on his lifestyle and the medications that will be necessary to treat it. However, the patient is unwilling to discuss these matters, usually citing fatigue or the desire to watch TV or make phone calls. What potential nursing diagnosis should the nurse prioritize? A) Ineffective coping B) Knowledge deficit C) Acute confusion D) Anxiety
If dizziness has a predictable pattern associated with it, the clinician should first consider
A. Hypoglycemia B. Psychogenic etiology C. Cardiovascular cause D. Neurogenic cause
The nurse is assessing a pregnant patient who is 26 weeks gestation. The patient reports a change in fetal activity. Which is a possible reason for this assessment finding? Select all that apply
1) Fetal distress 2) Intrauterine fetal demise 3) Preterm labor 4) Infection 5) Hyperemesis gravidarum
The nurse is taking history in a pt with chronic glomerulonephritis. what is the pt mostly likely to report?
a. hx of antibiotic allergy b. intense flank pain c. poor appetite and weight loss d. occasional edema and fatigue