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Questions 227

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Extract:

A patient has been started on metformin for type 2 DM.


Question 1 of 5

You would tell your patient that the most common side effects of this drug are:

Correct Answer: C

Rationale: Frequent side effects of metformin include nausea and abdominal discomfort. Liver and kidney function tests are recommended before starting and periodically thereafter.

Extract:

Polyuria:


Question 2 of 5

Polyuria:

Correct Answer: B

Rationale: Polyuria is excessive or frequent urination, often seen in diabetes.

Extract:


Question 3 of 5

A client scheduled for a fluorescein angiography is to have mydriatic eye drops instilled in both eyes 1 hour prior to the test. The nurse knows that the purpose of the medication is:

Correct Answer: B

Rationale: Mydriatic drops dilate pupils, allowing better visualization of the retina during fluorescein angiography.

Question 4 of 5

The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:

Correct Answer: C

Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.

Question 5 of 5

The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:

Correct Answer: C

Rationale: Cyanosis of the hands and feet (acrocyanosis) is common in newborns and may result in a 1-point deduction from a perfect Apgar score of 10.

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