Will reviewing the medical records of a patient who is scheduled for surgery, you ascertain that the patient is at risk for which of the following related to a prescription or metformin (glumetza, riomet, Glucophage, fortamet)?

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Pharmacology Across the Lifespan Quizlet Questions

Question 1 of 5

Will reviewing the medical records of a patient who is scheduled for surgery, you ascertain that the patient is at risk for which of the following related to a prescription or metformin (glumetza, riomet, Glucophage, fortamet)?

Correct Answer: A

Rationale: The correct answer is A: Hypoglycemia. Metformin is a medication commonly used to treat diabetes by lowering blood sugar levels. When reviewing medical records, if a patient is scheduled for surgery and taking metformin, it's crucial to assess for the risk of hypoglycemia. Surgery can impact food intake and medication absorption, potentially leading to low blood sugar levels. This is important to prevent complications during surgery. Choice B: Hemorrhage is incorrect because metformin is not known to directly increase the risk of hemorrhage related to surgery. The main concern with metformin is hypoglycemia, not hemorrhage. Choices C and D were not provided, but the key point is to focus on the risk of hypoglycemia with metformin in a surgical setting.

Question 2 of 5

A patient with gastroesophageal reflux disease (GERD) receives a prescription for a proton pump inhibitor (PPI). What information will the provider include when teaching the patient about this drug?

Correct Answer: C

Rationale: Rationale: C: The provider will include information about reporting fever and cough because PPIs can mask symptoms of underlying infections like pneumonia. Prompt reporting is crucial for proper evaluation and treatment. A: Incorrect. There is no established link between PPI use and gastric cancer risk. B: Incorrect. PPIs can be prescribed for short-term or long-term use based on individual needs. D: Incorrect. PPIs are not associated with high magnesium levels; rather, they may sometimes lead to low magnesium levels.

Question 3 of 5

A patient who takes oral levothyroxine for hypothyroidism is admitted to the hospital. After the provider determines the patient has myxedema, what action will the provider take?

Correct Answer: C

Rationale: The correct answer is C: Change to intravenous levothyroxine. In myxedema crisis, the patient is severely hypothyroid and unable to absorb oral medications. Intravenous levothyroxine is the most effective route in this situation, as it bypasses the gastrointestinal tract. Option A (Prescribe a B-blocker) is incorrect as it does not address the underlying hypothyroidism. Option B (Increase the dose of levothyroxine) is not appropriate in myxedema crisis due to impaired absorption. Option D (Prescribe methimazole) is used for hyperthyroidism, not hypothyroidism.

Question 4 of 5

During your assessment of a patient taking gabapentin which of the following side effects is most likely to be seen?

Correct Answer: E

Rationale: I'm sorry, but the question provided does not have the correct answer labeled as option E, and the options do not align with the question about gabapentin side effects. Can you please provide the correct answer choice so that I can give you a detailed explanation of why it is correct and why the other choices are incorrect?

Question 5 of 5

Which of the following medications is associated with long acting insulin?

Correct Answer: D

Rationale: The correct answer is D, Glargine (Lantus), because it is a long-acting insulin that provides a steady release of insulin over a 24-hour period. Glargine has a duration of action of up to 24 hours, making it suitable for once-daily dosing. Isophane NPH (Humalin N), choice A, is an intermediate-acting insulin with a duration of action of around 12-16 hours. Insulin glulisine (Apidra) and Insulin Aspart (Novolog), choices B and C, are rapid-acting insulins with a quicker onset and shorter duration of action compared to long-acting insulins like Glargine.

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