Practice Question
A nurse is preparing a client for a scheduled Percutaneous Coronary Intervention (PCI). Which statement made by the client should the nurse report to the Primary Healthcare Provider (PHCP)?
Answer Choices:
Correct Answer:
“I took my metformin this morning.”.
Rationale:
🔷 Metformin must be held before PCI due to the use of contrast dye, which may cause renal impairment.
🔷 The combination of iodine-based contrast and metformin can result in lactic acidosis, a potentially life-threatening condition.
🔷 The provider needs to be informed immediately so that metformin can be discontinued 24–48 hours pre-procedure.
🔷 The contrast can accumulate if renal clearance is reduced, increasing toxicity.
🔷 Monitoring renal function (e.g., BUN, creatinine) is essential before and after the PCI when metformin is involved.
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This question is from Med Surg 2 Miami Regional University which contains 88 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4