A patient with type 2 diabetes and heart failure who is prescribed metformin extended release (Glucophage XR) once daily now has muscle aches, drowsiness, low blood pressure, and a slow irregular heartbeat. What is your best action?
a. Assess the patient's blood glucose level and prepare to administer intravenous (IV) glucose.
b. Assess the patient's blood glucose level and prepare to administer insulin.
c. Hold the dose and notify the prescriber immediately.
d. Administer the drug at bedtime to prevent falls.
Question 2
What common symptom do you expect to find in a patient with peptic ulcer disease?
a. Frequently vomiting bright red blood
b. Burning gnawing pain between the navel and sternum
c. Nausea with reflux before and after all meals
d. Dark coffee-ground textured stools
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