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 C
Explanation
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
Abrupt discontinuation of propranolol can result in a variety of adverse reactions, including tachycardia (increased heart rate).
Choice A is wrong because bradypnea (abnormally slow breathing) is not a known withdrawal symptom of propranolol.
Choice B is wrong because hyperkalemia (high potassium levels) is not a known withdrawal symptom of propranolol.
Choice D is wrong because rhinitis (inflammation of the nasal mucous membrane) is not a known withdrawal symptom of propranolol.
Correct Answer is B
Explanation
Anaphylaxis is a severe, potentially life-threatening allergic reaction that can occur within seconds or minutes of exposure to an allergen, such as penicillin.

One of the symptoms of anaphylaxis is wheezing, which is caused by the constriction of the airways and a swollen tongue or throat.
Choice A is wrong because hypertonia (increased muscle tone) is not a known symptom of anaphylaxis.
Choice C is wrong because urinary retention (inability to completely empty the bladder) is not a known symptom of anaphylaxis.
Choice D is wrong because increased blood pressure is not a known symptom of anaphylaxis; in fact, anaphylaxis can cause a sudden drop in blood pressure.
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