Author Question: An older adult patient who is taking metformin (Glucophage) has just been seen in the clinic. The ... (Read 97 times)

JGIBBSON · **on:** Jul 23, 2018

An older adult patient who is taking metformin (Glucophage) has just been seen in the clinic. The doctor has ordered metoprolol (Toprol) for angina. What assessment data should the nurse monitor due to this drug combination?

A) Blood pressure
B) Blood glucose
C) Heart rate
D) Intake and output

Question 2

The nurse is providing patient education to a patient taking a glucocorticoid and advises the patient to take his or her medication at what time of the day?

A) At bedtime
B) With the noon meal
C) At 3:00 PM
D) Immediately on awakening in the morning

underwood14 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Metformin is an antidiabetic drug and the nurse should monitor the patient's blood glucose frequently throughout the day. The patient will not have the usual signs and symptoms of hypoglycemia or hyperglycemia. Blood pressure, heart rate, and intake and output would not be affected by this drugdrug combination.

Answer to Question 2

D
Feedback:
Glucocorticoids should be taken immediately on awaking in the morning to mimic the normal diurnal pattern. The peak levels of cortisol usually come between 6:00 and 8:00 AM. The levels then fall off slowly and reach a low in the late evening with the lowest levels around midnight. For those patients who work night shifts, the schedule would be changed to accommodate their sleep pattern. Waiting until later in the day could result in sleeplessness.