Clients taking metformin (Glucophage) should be monitored for this rare but potentially fatal adverse effect:

respiratory acidosis

hyperlipidemia

hypertension

lactic acidosis

Answer and Explanation

The Correct Answer is D

Respiratory acidosis: This is not a typical side effect of metformin.
B. Hyperlipidaemia: Metformin might not directly cause significant hyperlipidaemia.
C. Hypertension: Metformin doesn't typically cause hypertension.
D. Lactic acidosis: This is a rare but serious complication of metformin therapy. It can occur if metformin accumulates in the body due to impaired kidney function or other factors. Monitoring for signs and symptoms is crucial.

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Correct Answer is A

Explanation

A. Fluoroquinolones: Fluoroquinolones are a class of antibiotics known to have potential side effects like cartilage damage and tendon rupture, especially in younger individuals.
B. Aminoglycosides: While aminoglycosides can have other side effects, they are not typically associated with cartilage or tendon problems.
C. Penicillins: Penicillins can cause allergic reactions but not cartilage or tendon issues.
D. Sulfonamides: Sulfonamides can have various side effects, but cartilage or tendon problems are not common.

A. Ketoacids B. Hyperglycemia C. Hypoglycemia D. Glucagon

Correct Answer is B

Explanation

A. Ketoacids: This is incorrect. While ketoacids are a by-product of fat metabolism that occurs when insulin is low, they do not directly stimulate insulin secretion.
B. Hyperglycaemia: This is correct. Elevated blood glucose levels (hyperglycaemia) directly stimulate the pancreas to secrete insulin to help lower blood glucose levels.
C. Hypoglycaemia: This is incorrect. Low blood glucose levels (hypoglycaemia) would reduce insulin secretion and might increase glucagon secretion to raise blood glucose levels.
D. Glucagon: This is incorrect in the context of directly stimulating insulin secretion. Glucagon is a hormone secreted by the alpha cells of the pancreas when blood glucose levels are low. Its primary role is to increase blood glucose levels by stimulating glycogenolysis and gluconeogenesis in the liver.

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Clients taking metformin (Glucophage) should be monitored for this rare but potentially fatal adverse effect:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which class of antibiotic is associated with cartilage toxicity and rupture of the Achilles tendon?

Correct Answer is A

Explanation

Which of the following stimulates the pancreas to secrete insulin?

Correct Answer is B

Explanation

Untreated or improperly treated diabetes is the primary cause of the following: (Select All that Apply.)

If injection sites are not rotated regularly, the patient with diabetes mellitus may suffer from which of the following?

Clients taking metformin (Glucophage) should be monitored for this rare but potentially fatal adverse effect:

.A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse teaches a patient to self-administer his insulin. How can the nurse best evaluate whether the patient understands the instruction?

Mr. Carter has been recently started on an antibiotic, and has developed a rash and pruritis. You suspect an allergic reaction and immediately assess him for other more serious symptoms. What question would be most important to ask Mr. Carter?

Which hormones that regulate blood glucose levels are secreted by the pancreas? (Select all that apply.)

The nurse is screening a group of clients. Which client has the greatest risk for developing type 2 diabetes?