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 D
Explanation
A. Oral candidiasis is not a common adverse effect of metoclopramide. It is more commonly associated with antibiotic use.
B. Black stools can indicate gastrointestinal bleeding but are not a typical adverse effect of metoclopramide.
C. Dry cough is not associated with metoclopramide. It is more commonly related to respiratory conditions or certain medications like ACE inhibitors.
D. Tardive dyskinesia is a serious adverse effect of metoclopramide, especially with long-term or high-dose use. It involves involuntary, repetitive movements and can be irreversible.
Correct Answer is C
Explanation
A. A child who recently received the human papillomavirus vaccine. This is not a contraindication for receiving the varicella vaccine. Vaccines can generally be administered simultaneously or at any interval between doses of different vaccines.
B. A young adult who has an allergy to eggs. This is not a contraindication for the varicella vaccine. The varicella vaccine does not contain egg proteins, so an egg allergy does not prevent someone from receiving it.
C. A client who has AIDS. This is a contraindication for the varicella vaccine. Individuals with severe immunocompromising conditions, such as AIDS, should not receive live vaccines like the varicella vaccine due to the risk of severe vaccine-related complications.
D. An older adult client living in a long-term care facility. This is not a contraindication for the varicella vaccine. Older adults can receive the varicella vaccine unless they have specific contraindications such as severe immunocompromise.
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