A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications is contraindicated for this client due its effect on blood glucose levels?
Cimetidine
Cephalexin
Prednisone
Levothyroxine
The Correct Answer is C
A. Cimetidine:Cimetidine can indeed increase the effect of metformin due to competition for renal tubular clearance. This can lead to higher levels of metformin in the blood and potentially increase the risk of side effects. While it does not directly contraindicate metformin use, monitoring and dose adjustments might be necessary to manage this interaction.
B. Cephalexin:
Cephalexin is an antibiotic used to treat bacterial infections. It does not have a significant impact on blood glucose levels and is not contraindicated for a client taking metformin.
C. Prednisone:This is a corticosteroid that can increase blood glucose levels. Corticosteroids are known to cause hyperglycemia and may impair glucose control, which can be problematic for someone with diabetes taking metformin.
D. Levothyroxine:
Levothyroxine is a medication used to treat hypothyroidism. It does not have a direct impact on blood glucose levels and is not contraindicated for a client taking metformin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cleanse the wound with 0.9% sodium chloride irrigation before obtaining the specimen.
This is a correct action. Cleaning the wound with a sterile solution, such as 0.9% sodium chloride, helps minimize contamination and ensures a more accurate culture.
B. Irrigate the wound with an antiseptic prior to obtaining the specimen.
Using antiseptics directly on the wound before obtaining a specimen can interfere with the culture results. It's essential to use a non-bacteriostatic solution for cleaning.
C. Include intact skin at the wound edges in the culture.
The culture should focus on the material within the wound itself rather than including intact skin. The goal is to identify the specific pathogens causing the infection.
D. Swab an area of skin away from the wound to identify normal flora.
The specimen should be taken directly from the wound site to identify the pathogens responsible for the infection. Swabbing away from the wound won't provide relevant information.
Correct Answer is B
Explanation
A. Vitamin A:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin A is a fat-soluble vitamin.
B. Vitamin C:
Solubility: Water-soluble.
Explanation: Vitamin C is water-soluble and plays a crucial role in collagen synthesis, immune function, and antioxidant activity.
C. Vitamin E:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin E is a fat-soluble vitamin with antioxidant properties.
D. Vitamin D:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin D is a fat-soluble vitamin that plays a key role in calcium absorption and bone health.
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