A nurse is caring for a client taking metformin. He is going over teaching. Which of the following statements by the client shows that they have an understanding of the drug?

"I will have to increase my vitamin K because it is a common deficiency with this drug"

"I will need to be careful shaving and should switch to an electric razor"

"When I go for any procedures using iodine contrast I will need to let me doctor know I'm on this drug

"I need to check my pulse for a full minute before taking"

Answer and Explanation

The Correct Answer is C

A. Metformin does not affect vitamin K levels, so there is no need to increase vitamin K intake with this drug.
B. Shaving precautions are not related to metformin therapy.
C. Metformin can interact with iodine contrast used in imaging procedures, potentially increasing the risk of lactic acidosis, so it's important for the client to inform healthcare providers about their metformin use before such procedures.
D. Checking the pulse for a full minute before taking medication is not necessary for metformin administration.

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Correct Answer is ["22.5"]

Explanation

To administer the correct dose of potassium chloride, which is 30 mEq, when the available solution is 20 mEq in 15 mL, the nurse needs to calculate the volume of the solution to provide the required mEq. The calculation is as follows: (30 mEq / 20 mEq) x 15 mL = 22.5 mL.

A. Administer the medication as prescribed. B. Inform the client of her right to refuse any treatment. C. Contact the Occupational, Health, and Safety Administration (OSHA). D. Clarify the prescription with the provider.

Correct Answer is D

Explanation

A. Administering heparin without clarifying the client's existing anticoagulation therapy could lead to potential overdosing or adverse effects due to cumulative anticoagulant effects.
B. While informing the client of her right to refuse treatment is important, it does not address the potential risk of duplicative therapy in this situation.
C. Contacting OSHA is not relevant to the situation of clarifying medication orders.
D. Clarifying the prescription with the provider is essential to ensure the safety and appropriateness of administering heparin in the context of the client's existing therapy, preventing medication errors and ensuring optimal patient care.

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A nurse is caring for a client taking metformin. He is going over teaching. Which of the following statements by the client shows that they have an understanding of the drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

23. A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["22.5"]

Explanation

A nurse is preparing to administer heparin to a client. The nurse notices that the client's medical record indicates that the client has already been receiving anticoagulation therapy at home. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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