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. Determine factors that led to the omission: While determining the factors that led to the omission is important for preventing future errors, it is not the immediate priority when a medication has been missed. Assessing the client for adverse reactions takes precedence to ensure their safety and well-being.
B. Assess the client for adverse reactions: Assessing the client for adverse reactions is the immediate priority when a medication has been missed. This allows the nurse to promptly identify any potential harm or complications resulting from the missed dose and take appropriate actions to mitigate them.
C. Report the missed dosage to the client's provider: Reporting the missed dosage to the client's provider is important for documentation and continuity of care, but it should follow the assessment of the client for adverse reactions. Immediate assessment of the client's condition takes precedence to address any immediate concerns.
D. File an incident report: Filing an incident report is necessary for documenting the missed dosage and analyzing the factors that contributed to the error. However, it should be done after assessing the client for adverse reactions and reporting the incident to the provider. The incident report helps in identifying system issues and implementing measures to prevent similar errors in the future.
Correct Answer is B
Explanation
A. Tinnitus, or ringing in the ears, is not a common adverse effect of ergotamine, though it may occur with some other medications used for migraines. Ergotamine primarily affects the blood vessels and nervous system.
B. Paresthesias, which involve tingling, numbness, or a burning sensation, can occur as an adverse effect of ergotamine due to its vasoconstrictive properties. Clients should be informed to report any unusual sensations in their extremities.
C. Blurred vision is not typically associated with ergotamine use. It could be a sign of another underlying condition or side effect from other medications but is not directly related to ergotamine.
D. Hematuria, or blood in the urine, is not a known adverse effect of ergotamine. The medication's effects are mainly related to the vascular system, not the kidneys or urinary tract.
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