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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale: An activated partial thromboplastin time (aPTT) of 90 seconds is prolonged, indicating that heparin is exerting an increased anticoagulant effect. To prevent bleeding, the nurse should decrease the infusion rate.
Choice B rationale: A platelet count within the normal range wouldn't necessarily prompt a decrease in heparin infusion.
Choice C rationale: The erythrocyte sedimentation rate is not directly related to heparin infusion.
Choice D rationale: An International Normalized Ratio (INR) of 1.2 suggests a low risk of bleeding, not requiring a decrease in heparin infusion.

A. Zoledronate 5 mg intravenously x 1 dose B. Penicillin G 5,000,000 units intramuscularly every 4 hr C. Warfarin 100 units subcutaneously daily D. Tetracycline 1 g orally every 6 hr

Correct Answer is C

Explanation

Choice A rationale: This prescription indicates a single dose, which seems appropriate for its use.
Choice B rationale: Penicillin G is usually administered in divided doses 4 to 6 hours apart intramuscularly.
Choice C rationale: The nurse should clarify the prescription for warfarin with the provider before administering it. Warfarin is an anticoagulant that is usually given orally, not subcutaneously. The dose of warfarin is also measured in milligrams, not units. The nurse should verify the route, dosage, and frequency of warfarin with the provider to prevent adverse effects such as bleeding or clotting.
Choice D rationale: The frequency and dosage of Tetracycline are standard and within the typical range for treatment.

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A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion. Which of the following results indicates the nurse should decrease the infusion rate?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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