Page 1465 - Saunders Comprehensive Review For NCLEX-RN

metformin. The nurse should provide which instructions to the client? Select
all that apply.
1. Diarrhea may occur secondary to the metformin.

2. The repaglinide is not taken if a meal is skipped.

3. The repaglinide is taken 30 minutes before eating.

4. A simple sugar food item is carried and used to treat mild
hypoglycemia episodes.

5. Muscle pain is an expected effect of metformin and may be
treated with acetaminophen.
6. Metformin increases hepatic glucose production to prevent

hypoglycemia associated with repaglinide.
519. The nurse is teaching the client about his prescribed prednisone. Which
statement, if made by the client, indicates that further teaching is necessary?
1. “I can take aspirin or my antihistamine if I need it.”
2. “I need to take the medication every day at the same time.”
3. “I need to avoid coffee, tea, cola, and chocolate in my diet.”
4. “If I gain 5 pounds or more a week, I will call my doctor.”
520. A client with hyperthyroidism has been given methimazole. Which nursing
considerations are associated with this medication? Select all that apply.
1. Administer methimazole with food.

2. Place the client on a low-calorie, low-protein diet.

3. Assess the client for unexplained bruising or bleeding.

4. Instruct the client to report side and adverse effects such as
sore throat, fever, or headaches.

5. Use special radioactive precautions when handling the
client’s urine for the first 24 hours following initial administration.
521. The nurse is monitoring a client receiving levothyroxine sodium for
hypothyroidism. Which findings indicate the presence of a side effect
associated with this medication? Select all that apply.

1. Insomnia
2. Weight loss

3. Bradycardia

4. Constipation

5. Mild heat intolerance
522. The nurse provides instructions to a client who is taking levothyroxine. The
nurse should tell the client to take the medication in which way?
1. With food
2. At lunchtime
3. On an empty stomach

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