A client who regularly takes metformin has developed a severe infection. How will the infection change the established diabetic regimen?
Metformin will be given more frequently to decrease blood sugar.
Metformin will result in better regulation of blood sugar.
Metformin is contraindicated in the presence of an infection.
Metformin will allow the client to decrease the absorption of glucose
The Correct Answer is C
Metformin is an oral medication used to lower blood sugar levels in clients with type 2 diabetes. It works by decreasing the production and absorption of glucose in the liver and intestines, respectively. However, metformin is contraindicated in clients with severe infections, as the drug can increase the risk of developing lactic acidosis, a rare but serious complication characterized by the buildup of lactic acid in the bloodstream.
During a severe infection, the body may experience a state of inflammation and stress, which can cause metabolic changes that increase the risk of developing lactic acidosis. Therefore, metformin should be temporarily discontinued in clients with severe infections and resumed only after the infection has been successfully treated and resolved.
In the meantime, the client's diabetic regimen may need to be adjusted to maintain appropriate blood sugar levels. This may include the use of alternative medications such as insulin, which can be used to control blood sugar levels during times of illness or infection. The healthcare provider will determine the appropriate management plan based on the individual client's needs and medical history.
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Correct Answer is C
Explanation
Menotropins, also known as human menopausal gonadotropin (hMG), are a hormone treatment commonly used in infertility treatment. They contain both follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate the growth and maturation of follicles in the ovaries and the release of eggs during ovulation. This treatment is often used in women who are not ovulating regularly or who have other fertility problems. Somatotropin is used to treat growth hormone deficiency, thyrotropin alfa is used to treat thyroid cancer, and pegvisomant is used to treat acromegaly.
Correct Answer is B
Explanation
When using an insulin pump, the best site for inserting the infusion set is in the abdomen. This is because the abdomen has a higher amount of subcutaneous fat and a larger surface area, which allows for better absorption of the insulin. In addition, the abdomen is more accessible and easier to reach for self-insertion, and it also allows for better flexibility and comfort for the patient during daily activities.
It is important to rotate the infusion set insertion sites within the abdomen to avoid tissue damage and to ensure consistent absorption. Other sites, such as the hip, thigh, or deltoid, may be used but are generally not recommended due to the potential for slower absorption, tissue damage, and discomfort for the patient
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