A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Check the client's glucose level.
Monitor the client's thyroid function levels.
Collect the client's uric acid level.
Obtain the client's HDL level.
The Correct Answer is A
Metformin is a glucose lowering agent that could lead to hypoglycemia in non-diabetics B,C,D- Metformin has no effect on thyroid function, uric acid and HDL levels
Nursing Test Bank
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Related Questions
Correct Answer is A
Explanation
Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes
Correct Answer is D
Explanation
metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.
A-ACEIS, ARBS cause angioedema and persistent dry cough
B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis
C-anticoagulants can cause black stools which is a sign of upper GI bleeding.
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