A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

Monitor the client’s thyroid function levels.

Collect the client’s uric acid level.

Obtain the client’s HDL level.

Check the client’s glucose level.

Answer and Explanation

The Correct Answer is D

A. Monitor the client’s thyroid function levels is not relevant to the administration of metformin, as metformin does not affect thyroid function.
B. Collect the client’s uric acid level is not necessary in this context, as metformin does not typically impact uric acid levels.
C. Obtain the client’s HDL level is not relevant to the administration of metformin, as metformin does not directly affect HDL levels.
D. Check the client’s glucose level is the most appropriate action, as metformin is an antidiabetic medication that lowers blood glucose levels. Monitoring the client’s glucose level will help assess the impact of the incorrect medication administration and guide further treatment.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. “Ensure that the air bubble remains in the syringe.” This instruction is correct. The air bubble in prefilled enoxaparin syringes helps to ensure the full dose is administered and reduces the risk of bruising at the injection site.
B. “Inject the medication into the lateral thigh.” This instruction is incorrect. Enoxaparin is typically injected into the abdomen, specifically the anterolateral or posterolateral abdominal wall, not the lateral thigh.
C. “Release the skin fold before injecting the medication.” This instruction is incorrect. The correct technique involves pinching a fold of skin to create a subcutaneous pocket for the injection and maintaining the pinch until the injection is complete.
D. “Rub the site after injecting the medication.” This instruction is incorrect. Rubbing the injection site after administering enoxaparin can cause bruising and should be avoided.

A. “Exercise caution when changing positions.” B. “Increase the amount of sodium in your diet.” C. “Take a daily potassium supplement.” D. “Monitor your pulse rate before taking medication.”

Correct Answer is A

Explanation

A. “Exercise caution when changing positions.” This statement is correct because captopril, an ACE inhibitor, can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. Patients should be advised to rise slowly from sitting or lying positions to prevent dizziness and falls.
B. “Increase the amount of sodium in your diet.” This statement is incorrect because increasing sodium intake can counteract the blood pressure-lowering effects of captopril. Patients are usually advised to maintain a low-sodium diet to help manage their blood pressure effectively.
C. “Take a daily potassium supplement.” This statement is incorrect because captopril can increase potassium levels in the blood, potentially leading to hyperkalemia. Patients should be advised to avoid potassium supplements and potassium-rich foods unless directed by their healthcare provider.
D. “Monitor your pulse rate before taking medication.” This statement is incorrect because monitoring pulse rate is not typically necessary for patients taking captopril. The primary concern with captopril is blood pressure, not heart rate.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?

A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following prescribed medications should the nurse anticipate administering to the client?

A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?

A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

A nurse is caring for a client who is receiving total parenteral nutrition. The nurse should monitor the client for which of the following adverse effects?

A nurse is assessing a client who has received oxycodone. The nurse notes that the client’s respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client’s respiratory rate?