Answer :
Final answer:
The finding that indicates a need to contact the provider before the nurse administers metformin is an elevated serum creatinine level and significant weight gain in a short period of time.
Explanation:
Metformin is a medication commonly used for the management of type 2 diabetes. However, there are certain findings that require caution or consultation with the healthcare provider before administering metformin.
Elevated serum creatinine level is one such finding. Serum creatinine is a marker of kidney function, and an elevated level indicates impaired renal function. Metformin is primarily excreted through the kidneys, and in patients with impaired renal function, metformin may accumulate in the body, increasing the risk of lactic acidosis, a serious side effect. Therefore, it is important to contact the provider before administering metformin in patients with elevated serum creatinine levels.
Another finding that requires contacting the provider is significant weight gain in a short period of time. This may indicate fluid retention, which can also be a sign of impaired kidney function. Fluid retention can affect the distribution and elimination of metformin in the body, potentially increasing the risk of adverse effects.
Before administering metformin, the nurse should consider the patient's overall clinical condition, including the serum glucose level, as well as any other relevant findings. It is important to communicate with the healthcare provider to ensure the safe and appropriate administration of metformin.
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