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

Monitor the client’s thyroid function levels.

Collect the client’s uric acid level.

Obtain the client’s HDL level.

Check the client’s glucose level.

Answer and Explanation

The Correct Answer is D

A. Monitor the client’s thyroid function levels is not relevant to the administration of metformin, as metformin does not affect thyroid function.
B. Collect the client’s uric acid level is not necessary in this context, as metformin does not typically impact uric acid levels.
C. Obtain the client’s HDL level is not relevant to the administration of metformin, as metformin does not directly affect HDL levels.
D. Check the client’s glucose level is the most appropriate action, as metformin is an antidiabetic medication that lowers blood glucose levels. Monitoring the client’s glucose level will help assess the impact of the incorrect medication administration and guide further treatment.

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Correct Answer is C

Explanation

A. Monitor the client for hypotension is not specifically required for epoetin alfa administration. Hypotension is not a common adverse effect of this medication.
B. Inject at a 15-degree angle is incorrect. Subcutaneous injections are typically administered at a 45 to 90-degree angle, not 15 degrees.
C. Check the client’s hemoglobin level is essential before administering epoetin alfa. Epoetin alfa stimulates red blood cell production, and monitoring hemoglobin levels helps assess the effectiveness and safety of the treatment.
D. Administer the medication in the deltoid is not the preferred site for subcutaneous injections. Epoetin alfa is usually administered in the abdomen or thigh.

A. PTT B. PT C. Total iron-binding capacity D. WBC

Correct Answer is B

Explanation

A. PTT (partial thromboplastin time) is used to monitor heparin therapy, not warfarin. It measures the intrinsic pathway of coagulation.
B. PT (prothrombin time) is the correct test to review before administering warfarin. PT measures the extrinsic pathway of coagulation and is used to calculate the INR (International Normalized Ratio), which helps monitor and adjust warfarin dosage to ensure therapeutic levels and prevent complications.
C. Total iron-binding capacity is a measure of iron status and is not relevant to warfarin therapy.
D. WBC (white blood cell count) is important for assessing infection or immune status but is not directly related to monitoring warfarin therapy.

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A nurse accidentally administers 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 planning to administer epoetin alfa subcutaneously to a client who has anemia. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?

Correct Answer is B

Explanation

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