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 C

Explanation

A. Lecture involves one-way communication where information is delivered by the nurse to the client without active participation. It does not confirm understanding or assess learning through client feedback.
B. Question and answer involves the nurse posing questions to assess understanding but may not actively involve the client in demonstrating knowledge or skills.
C. Teach-back is an effective teaching method where the nurse asks the client to explain the procedure back in their own words. This technique helps assess the client's understanding, clarify information, and reinforce learning, promoting patient empowerment and adherence to treatment plans.
D. Role play involves simulating scenarios to practice skills or behaviors, which may not directly assess the client's understanding of a specific procedure.

A. Fill out an incident report. B. Report the incident to the provider. C. Return the opened medication to the medication cart. D. Notify the facility's ethics committee.

Correct Answer is B

Explanation

A. While filling out an incident report may be necessary in some cases, it is not the initial action when a client refuses medication.
B. Reporting the incident to the provider is essential for nurses to follow proper protocols to ensure patient safety and compliance with healthcare regulations.
C. Returning the opened medication to the medication cart is not advisable due to potential medication errors and contamination risks.
D. Notifying the facility's ethics committee is not necessary for a routine medication refusal scenario.

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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

A nurse is assisting with teaching a client a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?

Correct Answer is C

Explanation

A nurse opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take the medication. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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