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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decrease in body temperature can occur with propofol, but it is not the most critical adverse effect to monitor immediately after administration. Hypothermia is a concern but less urgent compared to respiratory depression.
B. Increase in bowel function is not associated with propofol. Propofol does not typically affect bowel function.
C. Increase in heart rate can occur but is not a primary adverse effect of concern with propofol. Tachycardia may be monitored but is not as critical as respiratory effects.
D. Decrease in respiratory rate is a significant adverse effect of propofol. Propofol can cause respiratory depression, leading to hypoventilation or apnea. Monitoring respiratory rate and ensuring adequate ventilation is crucial after propofol administration.
Correct Answer is C
Explanation
A. Obtain arterial blood gases is not the immediate action required for hypoglycemia. It is more relevant for assessing respiratory and metabolic status.
B. Warm formula to room temperature is not related to managing hypoglycemia. It is a standard practice for comfort but does not address the low blood glucose levels.
C. Administer IV dextrose is the appropriate action to treat hypoglycemia. IV dextrose provides a rapid source of glucose to raise blood sugar levels and prevent complications associated with hypoglycemia.
D. Discontinue the infusion is not the correct action. The infusion may need to be adjusted, but the immediate priority is to correct the hypoglycemia with IV dextrose.
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