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"
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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Related Questions
Correct Answer is D
Explanation
A. Fowler's position is a semi-sitting position typically used for respiratory or cardiac conditions, not for rectal suppository administration.
B. Dorsal recumbent position is lying on the back with knees flexed, which is used for genital exams or urinary catheterization, not for rectal suppository administration.
C. Prone position is lying face down, which is not suitable for rectal suppository administration.
D. Sim's position, lying on the left side with the right knee flexed, facilitates rectal suppository insertion and retention.
Correct Answer is C
Explanation
A. Determining the client's response to the medication is important but should occur after ensuring the safety of administering the medication.
B. Documenting medication administration is necessary but should follow the safe administration process.
C. Checking the client for allergies is the first step to ensure the client can safely receive the medication, preventing adverse reactions.
D. Mixing the medication at the client's bedside may be necessary for some medications but is not the initial step in ensuring safe administration.
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