A nurse is planning care for a client who has influenza and has a temperature of 38.8° C (101.9° F). Which of the following medications should the nurse expect the provider to prescribe?

Meloxicam

Diclofenac

Celecoxib

Aspirin

Answer and Explanation

The Correct Answer is A

A. Meloxicam: Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that can reduce fever and relieve inflammation and pain associated with influenza. It is safe for adults and does not carry the same risk of Reye’s syndrome as aspirin in viral illnesses.

B. Diclofenac: Diclofenac is also an NSAID that reduces inflammation and pain, but it is not typically the first choice for fever management in outpatient influenza due to its higher gastrointestinal and cardiovascular risk profile.

C. Celecoxib: Celecoxib is a selective COX-2 inhibitor used primarily for chronic inflammatory conditions. It is less commonly prescribed for acute fever management in influenza.

D. Aspirin: Aspirin is generally avoided in children and adolescents with viral infections due to the risk of Reye’s syndrome. While safer in adults, other NSAIDs like meloxicam are preferred for fever management.

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Correct Answer is ["25"]

Explanation

Calculation

Infusion Rate (Volume/Time): 100 mL/hr

Drop Factor: 15 gtt/mL

Calculate the Drip Rate (gtt/min)

Flow Rate (gtt/min) = (Total Volume (mL) / Total Time (min)) x Drop Factor (gtt/mL)

= (100 mL / 60 min) 15 x gtt/mL

= 1.666 x 15

= 25 gtt/min

A. Monitor the client's thyroid function levels. B. Obtain the client's HDL level. C. Check the client's glucose level. D. Collect the client's uric acid level.

Correct Answer is C

Explanation

A. Monitor the client's thyroid function levels: Thyroid function is not affected by either metformin or metoprolol. Monitoring thyroid levels would not address the potential effects of this medication error.

B. Obtain the client's HDL level: HDL levels relate to lipid metabolism and are not influenced by a single dose of metformin. This test would not help assess for adverse effects following the medication error.

C. Check the client's glucose level: Metformin is an antidiabetic medication that lowers blood glucose levels. Administering it in error could cause hypoglycemia, so the nurse should promptly monitor the client’s blood glucose and assess for related symptoms.

D. Collect the client's uric acid level: Uric acid levels are associated with gout and kidney function but are unrelated to metformin administration. Checking this level would not provide information relevant to the medication error.

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A nurse is planning care for a client who has influenza and has a temperature of 38.8° C (101.9° F). Which of the following medications should the nurse expect the provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["25"]

Explanation

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

Correct Answer is C

Explanation

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