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.
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.
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Related Questions
Correct Answer is C
Explanation
A. Give diphenhydramine IM. This action is incorrect because while diphenhydramine can help manage allergic reactions, it is not the first-line treatment for anaphylaxis. Epinephrine is the priority medication for anaphylactic reactions.
B. Elevate the client’s legs and feet. This action is incorrect because while elevating the legs can help with shock, it is not the immediate priority in anaphylaxis. Administering epinephrine is the most critical step.
C. Administer epinephrine IM. This action is correct because epinephrine is the first-line treatment for anaphylaxis. It helps to reverse the severe symptoms of anaphylaxis, including airway constriction and low blood pressure.
D. Replace the infusion with 0.9% sodium chloride. This action is incorrect because while replacing the infusion can help maintain fluid balance, it is not the immediate priority. Administering epinephrine is the most critical step.
Correct Answer is B
Explanation
A. Propafenone is an antiarrhythmic medication used to treat irregular heartbeats. It is not used to treat vomiting and would not be appropriate for this client.
B. Prochlorperazine is an antiemetic medication commonly used to treat severe nausea and vomiting. It works by blocking dopamine receptors in the brain, which helps reduce the urge to vomit.
C. Metformin is an oral antidiabetic medication used to manage blood glucose levels in people with type 2 diabetes. It is not used to treat vomiting and would not be appropriate for this client.
D. Simvastatin is a lipid-lowering medication used to manage high cholesterol levels. It is not used to treat vomiting and would not be appropriate for this client.
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