A nurse accidentally administers the medication metformin instead of metoprolol to a client.
Which of the following actions should the nurse take?
Collect the client's uric acid level.
Obtain the client's HDL level.
Check the client's glucose level.
Monitor the client's thyroid function levels.
The Correct Answer is C
Metformin is an antidiabetic agent used to treat type 2 diabetes mellitus.
It works by decreasing carbohydrate absorption from the gut, increasing glucose uptake in peripheral tissues in the presence of insulin, and reducing hepatic gluconeogenesis.
In normal patients, metformin ingestion is not associated with hypoglycemia.
However, it is still important to check the client’s glucose level to ensure that it is within a safe range.
Choice A is wrong because collecting the client’s uric acid level is not necessary after accidental administration of metformin.
Choice B is wrong because obtaining the client’s HDL level is not necessary after accidental administration of metformin.
Choice D is wrong because monitoring the client’s thyroid function levels is not necessary after accidental administration of metformin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Step 1: Convert weight from lb to kg.
88 lb ÷ 2.2 = 40 kg
Step 2: Calculate total daily dose in mg.
150 mg/kg × 40 kg = 6000 mg
Step 3: Calculate dose per administration (every 6 hr).
6000 mg ÷ 4 = 1500 mg
Step 4: Calculate number of tablets per dose.
1500 mg ÷ 500 mg/tab = 3 tablets
Answer:
3 tablets per dose.
Correct Answer is B
Explanation
Opioids such as morphine are used to relieve moderate to severe pain in cancer patients.
Choice A is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used to relieve mild pain, not moderate pain.
Choice C is wrong because acetaminophen may be used to relieve mild pain, not moderate pain.
Choice D is wrong because aspirin is an NSAID that may be used to relieve mild pain, not moderate pain.
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