A client taking metformin has acute kidney injury, abdominal discomfort, weakness, tachypnea, a pH of 7.12, an…

Question

A client taking metformin has acute kidney injury, abdominal discomfort, weakness, tachypnea, a pH of 7.12, and a lactate level of 12 mmol/L. Which action should the nurse anticipate?

Accepted Answer

Option 3: Stop metformin, initiate emergency supportive care, and prepare for prompt hemodialysis and intensive monitoring.

The client has severe metformin-associated lactic acidosis in the setting of acute kidney injury. Metformin is stopped immediately, emergency supportive measures are instituted in the hospital, and prompt hemodialysis is recommended to correct acidosis and remove accumulated metformin. Continuing the drug, delaying notification, restricting resuscitation, or arranging outpatient care is unsafe.

Answer

Option 1: Continue metformin and begin an insulin infusion because the findings are expected manifestations of hyperglycemia.

Answer

Option 2: Give activated charcoal and arrange outpatient follow-up after the abdominal discomfort has improved.

Answer

Option 4: Restrict intravenous fluids and wait for the lactate level to normalize before notifying the provider.

A client taking metformin has acute kidney injury, abdominal discomfort, weakness, tachypnea, a pH of 7.12, and a lactate level of 12 mmol/L. Which action should the nurse anticipate?

In-depth explanation

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A client taking metformin has acute kidney injury, abdominal discomfort, weakness, tachypnea, a pH of 7.12, and a lactate level of 12 mmol/L. Which action should the nurse anticipate?

In-depth explanation

Master the NCLEX-RN with MyMerci