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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Asking the client to remain in a side-lying position comes after administering the drops to facilitate medication retention, but it's not the first action.
B. Pulling the client's pinna down and back straightens the ear canal, but this technique is used for children < 3years. For adults the pinna should be pulled upwards and outwards.
C. Warming the medication may not be necessary to prevent dizziness.
D. Placing a cotton ball in the ear canal after instillation is not necessary for otic medication administration and should not be done routinely.

A. Upward and backward B. Upward and outward C. Down and backward D. Down and outward

Correct Answer is C

Explanation

Rationales:
A. Pulling the auricle upward and backward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.
B. Pulling the auricle upward and outward is appropriate when administering eardrops to clients >3years old helps straighten the ear canal, allowing for proper administration of the medication into the ear canal for effective treatment.
C. According to the American Academy of Pediatrics, for children under the age of 3, the correct method is to gently pull the outer flap of the affected ear downward and backward. This maneuver helps to straighten the ear canal, allowing the eardrops to flow down into the canal properly.
D. Pulling the auricle down and outward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is preparing to administer eardrops to a 2-year-old child. The nurse should pull the auricle in which of the following directions when instilling the medication?

Correct Answer is C

Explanation

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