Author Question: The physician has ordered Metformin (Glucophage) for a client with type 2 diabetes. The nurse plans ... (Read 60 times)

tiara099 · **on:** Jul 22, 2018

The physician has ordered Metformin (Glucophage) for a client with type 2 diabetes. The nurse plans to teach the client which of the following about this medication?

1. It stimulates the beta cells of the pancreas to secrete insulin.
2. It has the potential to induce hypoglycemia in older clients.
3. It is contraindicated in clients with renal insufficiency.
4. It has adverse effects, including weight gain and elevated blood lipid levels.

Question 2

A patient in the face-down position is in which position?

a. Sims' c. dorsal recumbent
b. lateral d. prone

triiciiaa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. It is contraindicated in clients with renal insufficiency.

Rationale:
Metformin (Glucophage) is contraindicated for clients with renal insufficiency and clients over age 80. It is a biguanide that improves insulin sensitivity by enhancing glucose uptake and use of the muscles. It rarely causes hypoglycemia. Additional beneficial effects include mild weight loss and improved lipid profiles in clients with high lipid levels.

Answer to Question 2

D
Another name for dorsal recumbent is supine or the back-lying position. Prone is the face-down position. Lateral is a side-lying position. Sims' is a semiprone position.