A nurse is reinforcing teaching with a client who is taking metformin XR for type II diabetes mellitus. Which of the following information should the nurse include in the teaching?
"You may crush or chew the medication."
"This medication can turn your urine orange."
"Take the medication with a meal."
"This medication can cause an increase in perspiration."
The Correct Answer is C
A. Metformin XR should not be crushed or chewed; it should be swallowed whole.
B. Metformin does not typically affect the color of urine, so this statement is incorrect.
C. Taking metformin with a meal helps to reduce gastrointestinal side effects such as nausea and diarrhea.
D. Metformin does not commonly cause an increase in perspiration, so this statement is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Decreased temperature is a symptom of hypothyroidism, not hyperthyroidism which would indicate an overdose of levothyroxine.
B. Weight gain is more commonly associated with hypothyroidism, not hyperthyroidism caused by an overdose of levothyroxine.
C. Tachycardia (rapid heart rate) is a classic sign of hyperthyroidism, which can occur if the client's dose of levothyroxine is too high.
D. Bradypnea (slow breathing) is not typically associated with thyroid hormone overdosage.
Correct Answer is B
Explanation
A. Waiting to document medications until the end of a shift increases the risk of errors and delays in patient care due to potential inaccuracies.
B. Avoiding distractions during medication preparation helps maintain focus and reduces the likelihood of errors.
C. Preparing medications for multiple clients simultaneously increases the risk of medication mix-ups and errors.
D. Medications should not be removed from automatic dispensing systems before review by pharmacists, as this can lead to medication errors and compromised safety protocols.
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