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.

Answer and Explanation

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

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Correct Answer is A

Explanation

Both sildenafil and nitroglycerin are vasodilators and can lead to severe hypotension when used together. Sildenafil acts by inhibiting phosphodiesterase 5 (PDE 5), an enzyme that breaks down cGMP, which regulates blood flow in the penis. The medication also results in the dilation of blood vessels in the lungs, which is beneficial for treating pulmonary arterial hypertension.
B, C, D- No interactions with nitroglycerin

A. Oxycodone blocks the sodium channel suspending nerve conduction, B. Oxycodone promotes vasodilation of cranial arteries. C. Oxycodone causes central nervous system depression. D. Oxycodone inhibits prostaglandin synthesis.

Correct Answer is C

Explanation

Oxycodone is an opioid analgesic medication that acts primarily on the central nervous system (CNS) to relieve pain. One of the side effects of opioids like oxycodone is respiratory depression, where breathing becomes slow and shallow. This effect occurs because opioids suppress the activity of the respiratory centers in the brainstem, leading to decreased respiratory rate and depth.

A-oxycodone has no effect on sodium channels

B-opioids cause vasodilation of cerebral vessels but this does not directly affect respiration D-Opioids have no effect on prostaglandin synthesis

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A nurse accidently administers 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 list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

Correct Answer is A

Explanation

A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?

Correct Answer is C

Explanation

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