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
Choice A rationale: The nurse who caused the error is not responsible for completing an incident report, which is a tool for quality improvement and risk management. The incident report should include the facts of the error, the actions taken, and the outcome of the client.
Choice B rationale: The nurse who identifies the error should notify the nurse who caused the error, the charge nurse, and the provider, but they are and they are responsible for completing the report.
Choice C rationale: The quality improvement committee may review incident reports but is not directly responsible for completing them.
Choice D rationale: The charge nurse may oversee the incident report process but is not primarily responsible for completing it.
Correct Answer is C
Explanation
Choice A rationale: Dissolving the fentanyl buccal film in water isn't the appropriate method of administration. It's specifically formulated for buccal (cheek) administration to facilitate absorption, and dissolving it in water may alter its efficacy.
Choice B rationale: Swallowing the fentanyl buccal film isn't the intended method of administration. It's designed for absorption through the mucous membrane, not for ingestion.
Choice C rationale: Fentanyl buccal film is designed for absorption through the mucous membrane of the cheek. This route allows for rapid absorption of the medication
directly into the bloodstream, offering quicker relief for the patient.
Choice D rationale: Placing the fentanyl buccal film on the tongue for dissolution is not the correct method. The medication is formulated for buccal administration, not oral dissolution.
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