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. Massage the injection site after administering the medication. This action is incorrect because massaging the injection site after administering enoxaparin can cause bruising and should be avoided.
B. Administer the medication into the anterolateral or posterolateral abdominal area. This action is correct. Enoxaparin should be administered subcutaneously into the anterolateral or posterolateral abdominal area to ensure proper absorption and minimize complications.
C. Hold the skin taut at the injection site while administering the medication. This action is incorrect. The correct technique involves pinching a fold of skin to create a subcutaneous pocket for the injection, rather than holding the skin taut.
D. Expel the air bubble from the syringe prior to administering the medication. This action is incorrect. The air bubble in prefilled enoxaparin syringes should not be expelled before administration, as it helps to ensure the full dose is delivered and reduces the risk of bruising.
Correct Answer is B
Explanation
A. “You require TPN because you have a low platelet count” is incorrect. TPN is not prescribed for low platelet counts; it is used for nutritional support.
B. “You will receive TPN through a central vein” is correct. TPN is typically administered through a central venous catheter because it is a hypertonic solution that can irritate peripheral veins.
C. “You require TPN because your glucose is too high” is incorrect. TPN is not used to manage high glucose levels; it is used for providing nutrition when oral or enteral feeding is not possible.
D. “You will receive TPN for the next 6 months” is incorrect. The duration of TPN therapy varies depending on the client’s condition and nutritional needs.
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