Which of the following is important for the nurse to assess and monitor in a patient prescribed metformin (Glucophage)? (Select all that apply.)
a. Weight gain
b. Presence of congestive heart failure (CHF)
c. Need for diagnostic tests involving use of contrast dyes
d. Fluid retention
e. Presence of renal or hepatic disease
f. Family history of glaucoma
ANS: B, C, E
Glucophage may enhance weight loss, not gain. Withhold if the patient is having tests involving contrast dye. It is contraindicated in renal and hepatic disease and CHF. Notify physician of early symptoms of lactic acidosis: hyperventilation, myalgia, and malaise.
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What age is the child who is in the "do it myself" stage?
A. 18 months B. 2 years old C. 3 years old D. 4 years old
What is the drug of choice the nurse should administer in the acute treatment of anaphylaxis?
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