A client is prescribed metformin for type 2 diabetes mellitus. The nurse instructs the client to take the medication with meals. What is the rationale for this instruction?
To reduce the risk of hypoglycemia
To enhance the absorption of the medication
To prevent gastrointestinal upset
To increase the effectiveness of the medication
The Correct Answer is C
A) Incorrect. Metformin does not cause hypoglycemia, as it does not stimulate insulin secretion. It lowers blood glucose levels by decreasing hepatic glucose production and increasing insulin sensitivity.
B) Incorrect. Metformin absorption is not affected by food intake. The medication can be taken with or without food, but taking it with meals can help reduce gastrointestinal side effects.
C) Correct. Metformin can cause gastrointestinal upset, such as nausea, diarrhea, and abdominal pain. Taking it with meals can help minimize these effects by slowing down the transit of the medication through the digestive tract.
D) Incorrect. Metformin effectiveness is not influenced by food intake. The medication works by improving glucose metabolism and insulin action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Incorrect. The client should eat a consistent amount of foods that are high in vitamin K, such as leafy greens, broccoli, and cabbage. Vitamin K can interfere with the anticoagulant effect of warfarin and increase the risk of clotting.
B) Correct. The client should use an electric razor for shaving to prevent cuts and bleeding.
C) Correct. The client should check their blood pressure regularly to monitor for hypertension, which can increase the risk of bleeding complications.
D) Correct. The client should report any signs of bleeding or bruising to their provider, as they may indicate a high INR level or a bleeding disorder.
Correct Answer is B
Explanation
A) Incorrect. Diarrhea is a common side effect of amoxicillin, but it is not a sign of an allergic reaction. The nurse should advise the client to drink plenty of fluids and eat foods that are high in fiber to prevent dehydration and constipation. The nurse should also instruct the client to report severe or bloody diarrhea, as it may indicate a serious condition called pseudomembranous colitis.
B) Correct. Rash is a sign of an allergic reaction to amoxicillin, and it may indicate a hypersensitivity or anaphylactic reaction. The nurse should instruct the client to report any rash, itching, hives, or swelling to their provider immediately and stop taking the medication.
C) Incorrect. Headache is a common side effect of amoxicillin, but it is not a sign of an allergic reaction. The nurse should advise the client to take over-the-counter analgesics, such as acetaminophen or ibuprofen, to relieve headache pain.
D) Incorrect. Nausea is a common side effect of amoxicillin, but it is not a sign of an allergic reaction. The nurse should advise the client to take the medication with food or milk to reduce nausea and vomiting.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.