ATI RN Pharmacology 2019

ATI RN Pharmacology 2019 ( 67 Questions)

Question 9 :

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



Correct Answer: D

Metformin is a medication used to lower blood glucose levels in people with  type 2 diabetes. Metoprolol is a beta-blocker used to treat high blood pressure and heart  problems. If the nurse accidentally gives metformin instead of metoprolol, the client may  experience hypoglycemia (low blood sugar), which can cause symptoms such as  sweating, shakiness, confusion, and loss of consciousness. Therefore, the nurse should check the client’s glucose level and treat  hypoglycemia if needed. 

Choice A is wrong because HDL (high-density lipoprotein) is a type of cholesterol  that is not affected by metformin or metoprolol. 

Choice B is wrong because thyroid function levels are not affected by metformin  or metoprolol. 

Choice C is wrong because uric acid level is not affected by metformin or  metoprolol. 

Uric acid is a waste product that can cause gout if it accumulates in the joints. Normal ranges for blood glucose are 70 to 130 mg/dL before meals and less  than 180 mg/dL two hours after meals. 

Normal ranges for HDL are 40 to 60 mg/dL for men and 50 to 60 mg/dL for  women. 

Normal ranges for thyroid function levels vary depending on the specific test,  but generally they are between 0.4 and 4.0 mIU/L for TSH (thyroid-stimulating  hormone), 4.5 to 11.2 mcg/dL for T4 (thyroxine), and 80 to 180 ng/dL for T3  (triiodothyronine). 

Normal ranges for uric acid are 3.4 to 7.0 mg/dL for men and 2.4 to 6.0 mg/dL  for women. 


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