Author Question: Which finding indicates a need to contact the health care provider before the nurse administers ... (Read 110 times)

cherise1989 · **on:** Jun 25, 2018

Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?

a. The patient's blood glucose level is 174 mg/dL.
b. The patient has gained 2 lb (0.9 kg) since yesterday.
c. The patient is scheduled for a chest x-ray in an hour.
d. The patient's blood urea nitrogen (BUN) level is 52 mg/dL.

Question 2

Which action by a patient indicates that the home health nurse's teaching about glargine and regular insulin has been successful?

a. The patient administers the glargine 30 minutes before each meal.
b. The patient's family prefills the syringes with the mix of insulins weekly.
c. The patient draws up the regular insulin and then the glargine in the same syringe.
d. The patient disposes of the open vials of glargine and regular insulin after 4 weeks.

cdmart10 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
The BUN indicates possible renal failure, and metformin should not be used in patients with renal failure. The other findings are not contraindications to the use of metformin.

Answer to Question 2

ANS: D
Insulin can be stored at room temperature for 4 weeks. Glargine should not be mixed with other insulins or prefilled and stored. Short-acting regular insulin is administered before meals, while glargine is given once daily.