A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Check the client's glucose level.
Collect the client's uric acid level.
Obtain the client's HDL level.
Monitor the client's thyroid function levels.
The Correct Answer is A
Choice A rationale: Metformin is an antidiabetic medication, and administering it instead of metoprolol may affect the client's glucose levels. Checking the glucose level would help assess the impact and guide further actions.
Choice B rationale: Uric acid levels are not directly affected by metformin or metoprolol.
Choice C rationale: HDL levels are not directly impacted by the accidental administration of metformin instead of metoprolol.
Choice D rationale: Thyroid function levels are not immediately impacted by the accidental administration of metformin instead of metoprolol.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Taking ferrous gluconate with milk is not advised because calcium in milk can interfere with the absorption of iron. The client should avoid taking iron supplements with calcium-containing products.
B. Staying upright for at least 15 minutes after taking ferrous gluconate can help prevent esophageal irritation or discomfort. This instruction is crucial for iron supplements, as lying down immediately after ingestion can cause reflux or esophagitis.
C. Taking an antacid with ferrous gluconate can reduce its absorption. The client should be advised to avoid taking antacids, calcium supplements, or certain medications close to the time of iron intake.
D. Black stools are a common and harmless side effect of iron supplementation. The client should be informed that this is expected and not a reason to notify the provider unless there are additional concerning symptoms, such as abdominal pain or constipation.
Correct Answer is B
Explanation
Choice A rationale: Erythromycin lactobionate should be reconstituted with sterile water for injection, not dextrose solution. Dextrose solution can cause precipitation and reduce the effectiveness of the medication.
Choice B rationale: Erythromycin lactobionate is a macrolide antibiotic that can cause ototoxicity, which is damage to the inner ear that can result in hearing loss, tinnitus, or vertigo. The nurse should monitor the client for signs of ototoxicity and report any changes to the provider.
Choice C rationale: Erythromycin lactobionate can cause diarrhea, not constipation. The nurse should advise the client to drink plenty of fluids and monitor for signs of dehydration.
Choice D rationale: Erythromycin lactobionate should be administered over 20 to 60min, depending on the dose and the client's condition. Administering the medication too rapidly can cause phlebitis, thrombophlebitis, or cardiac arrhythmias.
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