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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A sodium level of 137 mEq is within a normal range.
Choice B rationale:
A hemoglobin level of 15 g/dL is within a normal range.
Choice C rationale:
A hematocrit level of 43% is within a normal range.
Choice D rationale:
Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.
Correct Answer is D
Explanation
Choice A rationale:
Taking an HMG-CoA reductase inhibitor (statin) is not directly related to digoxin toxicity.
Choice B rationale:
Having a prolapsed mitral valve is not a known risk factor for digoxin toxicity.
Choice C rationale:
Having a history of COPD is not directly associated with digoxin toxicity.
Choice D rationale:
High-ceiling diuretics (loop diuretics) can lead to electrolyte imbalances, such as hypokalemia, which can increase the risk of digoxin toxicity. Potassium plays a role in the effects of digoxin on the heart, and low levels can potentiate toxicity.
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