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 ["7.5"]
Explanation
The correct answer is 7.5 ML
To answer this question, we need to use the formula:
mL to administer = (mEq ordered / mEq available) x mL available Plugging in the values from the question, we get:
mL to administer = (20 mEq/day / 6.7 mEq/5 mL) x 5 mL Simplifying, we get:
mL to administer = (2.99 mL/mEq) x 5 mL Multiplying, we get:
mL to administer = 14.95 mL/day
Since the order is to divide the dose equally every 12 hours, we need to divide the total daily dose by 2:
mL to administer per dose = 14.95 mL/day / 2 Dividing, we get:
mL to administer per dose = 7.475 mL
Rounding to the nearest tenth, we get:
mL to administer per dose = 7.5 mL
Therefore, the nurse should administer 7.5 mL of potassium chloride elixir per dose.
Correct Answer is C
Explanation
Choice A rationale:
Amphotericin B lipid complex is normally yellow in color, so discarding it would be wasteful and inappropriate. The nurse should only discard the medication if it is cloudy, discolored, or contains particulate matter.
Choice B rationale:
Amphotericin B lipid complex should be administered over 1 hr, not 2 hr, to reduce the risk of infusion-related reactions such as fever, chills, rigors, hypotension, and tachycardia. The nurse should also premedicate the client with antipyretics, antihistamines, and corticosteroids to prevent or minimize these reactions.
Choice C rationale:
Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.
Choice D rationale:
Amphotericin B lipid complex should be administered using an infusion pump, not a gravity flow set, to ensure accurate and consistent delivery of the medication. The nurse should also use a filter needle when drawing up the medication from the vial and a 5-micron filter when infusing it to remove any impurities or aggregates.
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