This topic contains a solution. Click here to go to the answer

Author Question: The nurse manages care for a patient with diabetes who takes metformin. Which laboratory result ... (Read 52 times)

kaid0807

  • Hero Member
  • *****
  • Posts: 515
The nurse manages care for a patient with diabetes who takes metformin. Which laboratory result would cause the greatest concern?
 
  a. Elevated creatinine
  b. Anemia
  c. Decreased platelets
  d. Increased iron

Question 2

An adolescent patient with type 1 diabetes experiences a severe hypoglycemic reaction in the clinic. Before providing orange juice, the nurse should
 
  a. start an IV.
  b. obtain a stat serum calcium level.
  c. check the gag reflex.
  d. consult the dietician.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jackie

  • Sr. Member
  • ****
  • Posts: 324
Answer to Question 1

ANS: A
An increased creatinine level indicates renal dysfunction. This would cause serious concern, because metformin is excreted unchanged by the kidneys, and with renal impairment, metformin can accumulate to toxic levels.
Anemia, decreased platelets, and increased iron are secondary concerns that need to be managed; however, the most significant concern is definitely the increased creatinine level, which signals renal dysfunction.

Answer to Question 2

ANS: C
In case the patient's gag reflex is not intact, it is imperative to assess its function before the oral orange juice is given.
An IV would not be the first action but would be part of this patient's care.
A stat calcium level is not indicated at this time.
The dietician could be contacted to set up some teaching for the patient after this acute crisis has been managed.




kaid0807

  • Member
  • Posts: 515
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it


duy1981999

  • Member
  • Posts: 341
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

About 60% of newborn infants in the United States are jaundiced; that is, they look yellow. Kernicterus is a form of brain damage caused by excessive jaundice. When babies begin to be affected by excessive jaundice and begin to have brain damage, they become excessively lethargic.

For a complete list of videos, visit our video library