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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. INR (International Normalized Ratio) is used to monitor blood clotting and is not relevant to evaluating the effectiveness of filgrastim. Filgrastim is used to stimulate the production of white blood cells, so monitoring INR would not provide useful information about its effectiveness.
B. WBC count (White Blood Cell count) is the primary laboratory value to monitor when evaluating the effectiveness of filgrastim. Filgrastim is a granulocyte colony-stimulating factor that promotes the production of neutrophils, a type of white blood cell. An increase in WBC count indicates that the treatment is effective.
C. Potassium level is important for overall health but is not directly related to the effectiveness of filgrastim. Monitoring potassium levels is not necessary for assessing the response to filgrastim therapy.
D. BUN (Blood Urea Nitrogen) measures kidney function and is not relevant to evaluating the effectiveness of filgrastim. Monitoring BUN levels would not provide information about the response to filgrastim treatment.
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.
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