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

Obtain the client's HDL level.

Collect the client's uric acid level.

Check the client's glucose level.

Monitor the client's thyroid function levels.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Obtaining the client's HDL level is not relevant to the administration error.

Choice B rationale:

Collecting the client's uric acid level is not relevant to the administration error.

Choice C rationale:

Metformin is an antidiabetic medication used to control blood glucose levels. Since metformin was administered instead of metoprolol, the nurse should check the client's glucose level to monitor for potential effects of the incorrect medication.

Choice D rationale:

Monitoring the client's thyroid function levels is not relevant to the administration error involving metformin and metoprolol.

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Correct Answer is B

Explanation

Choice A rationale:

Enoxaparin is administered subcutaneously, so the syringe needle should be fully inserted into the client's skin.

Choice B rationale:

Expelling the air bubble from the syringe helps ensure accurate dosage and prevents the injection of air into the subcutaneous tissue.

Choice C rationale:

Enoxaparin is administered subcutaneously, not into muscle tissue.

Choice D rationale:

Applying firm pressure to the injection site following administration is not typically necessary for subcutaneous injections of enoxaparin.

A. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered. B. The client's absolute neutrophil count was 2.500/mm3 before the medication was administered. C. The client had chemotherapy 12 hr before the medication was administered. D. The medication vial sat at room temperature for 2 hr before it was administered.

Correct Answer is C

Explanation

A: Flushing an IV line with dextrose 5% in water before and after medication administration is a common practice to ensure that the medication is delivered properly and to prevent interactions in the IV line. This would not typically require an incident report.
B: An absolute neutrophil count of 2.500/mm3 is within the normal range for patients undergoing chemotherapy and would not typically necessitate an incident report.
C: Having chemotherapy 12 hours before the administration of filgrastim does not contraindicate its use and is within the appropriate time frame as filgrastim is often given after chemotherapy to help recover white blood cell counts.
D: According to the guidelines, filgrastim should be stored in the refrigerator and allowing it to sit at room temperature for 2 hours could compromise its effectiveness. This is a deviation from the medication's storage requirements and could potentially harm the patient, thus an incident report should be filed.

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A nurse accidently 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 preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse recently administered filgrastim intravenously to a client who has ccer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Correct Answer is C

Explanation

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