Author Question: The nurse decides to withhold a prescribed dose of metformin to a client after reviewing the medical ... (Read 33 times)

yoooooman · **on:** Jul 23, 2018

The nurse decides to withhold a prescribed dose of metformin to a client after reviewing the medical record. For which conditions is this medication contraindicated or used with caution?

Standard Text: Select all that apply.
1. Impaired renal function
2. Congestive heart failure
3. Hyperthyroidism
4. Septicemia
5. Sleep apnea

Question 2

What dietary instructions should the nurse provide a client who is prescribed repaglinide (Prandin)?

Standard Text: Select all that apply.
1. Do not take with grapefruit juice.
2. Avoid using garlic.
3. Drink decaffeinated beverages only.
4. Avoid green leafy vegetables.
5. Limit the intake of milk products.

mcarey591 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: Metformin is contraindicated in clients with impaired renal function.
Rationale 2: Metformin is contraindicated in clients with heart failure.
Rationale 3: Metformin is used with caution in clients with hyperthyroidism.
Rationale 4: Metformin is contraindicated in clients with a concurrent serious infection.
Rationale 5: Metformin is not contraindicated in clients with sleep apnea.
Global Rationale: Metformin is contraindicated in clients with impaired renal function, heart failure, hyperthyroidism, or a concurrent serious infection. It is not contraindicated in those with sleep apnea.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: The concurrent intake of grapefruit juice with repaglinide may result in increased drug levels and hypoglycemia.
Rationale 2: Garlic may increase the hypoglycemic effects of the medication.
Rationale 3: This medication does not interact with caffeine.
Rationale 4: This medication does not interact with green leafy vegetables.
Rationale 5: This medication does not interact with milk products.
Global Rationale: The concurrent intake of grapefruit juice with repaglinide may result in increased drug levels and hypoglycemia. Garlic may increase the hypoglycemic effects of the medication. The medication does not interact with caffeine, green leafy vegetables, or milk products.