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Author Question: The nurse is reviewing the health history for an older patient newly diagnosed with type 2 diabetes ... (Read 112 times)

leo leo

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on: Jul 11, 2018
The nurse is reviewing the health history for an older patient newly diagnosed with type 2 diabetes mellitus. For which health problem would the medication metformin be contraindicated?
 
  1. Heart failure
  2. Hypertension
  3. Osteoarthritis
  4. Renal insufficiency

Question 2

The diagnostic test commonly used to diagnose fracture of the hip is
 
  A) bone mineral density (BM
  D).
  B) x-ray of the hip.
  C) magnetic resonance imaging (MRI) of the hip.
  D) bone scan.


kingfahad97

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Reply #1 on: Jul 11, 2018
Answer to Question 1

4
Rationale: Metformin should not be used by older adults with renal insufficiency. It can be taken by older adults with heart failure.

Answer to Question 2

B


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Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

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An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

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