Practice Question
A nurse working in the radiology department is preparing a client who has diabetes mellitus for a procedure that requires the use of contrast dye. During the intake assessment, the client tells the nurse that they took their morning dose of metformin. What action should the nurse take?
Answer Choices:
Correct Answer:
Inform the primary healthcare provider (PCP)
Rationale:
🔷Metformin combined with contrast dye poses a risk of lactic acidosis, especially if renal function is impaired by the dye.
🔷The nurse’s priority is to immediately notify the provider so that appropriate action can be taken, such as holding metformin for 48 hours post-procedure until renal function is confirmed stable.
🔷Simply checking blood sugar is insufficient, since the concern is renal clearance of metformin, not immediate glycemic control.
🔷Proceeding without intervention could lead to a life-threatening metabolic complication.
🔷This step aligns with safety protocols for diabetic clients undergoing radiologic studies with contrast.
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This question is from Examplify W4 NR325 NR330 Exam 1 which contains 25 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Maternal-Child
- Answer Choices: 4