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 D

Explanation

A. Administer the medication while wearing protective footwear is not a standard precaution for administering hazardous IV medications. Protective footwear is generally used to prevent physical injuries rather than chemical exposure.
B. Wear an N95 respiratory mask when administering the medication is necessary for airborne precautions but not typically required for administering hazardous IV medications unless there is a risk of aerosolization.
C. Administer the medication in a negative pressure room is used for airborne infection isolation but is not a standard requirement for administering hazardous IV medications.
D. Wear gloves when handling the medication is essential to protect the nurse from exposure to hazardous drugs. Gloves provide a barrier to prevent skin contact with the medication, reducing the risk of absorption and contamination.

A. Blurred vision B. Jaundice C. Irregular heart rate D. Constipation

Correct Answer is B

Explanation

A. Blurred vision can be a side effect of many medications, but it is not a common adverse effect specifically associated with rifampin. Rifampin’s side effects are more commonly related to liver function and gastrointestinal issues.
B. Jaundice is a significant adverse effect of rifampin, indicating potential liver damage. Rifampin can cause hepatotoxicity, leading to elevated liver enzymes and bilirubin levels, which manifest as jaundice. Monitoring liver function tests is crucial for clients on rifampin to detect any early signs of liver damage.
C. Irregular heart rate is not typically associated with rifampin. While rifampin can interact with other medications that affect heart rate, it does not directly cause arrhythmias.
D. Constipation is not a common adverse effect of rifampin. Gastrointestinal side effects of rifampin usually include nausea, vomiting, and diarrhea rather than constipation.

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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 preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is taking rifampin. Which of the following findings should the nurse monitor for as an adverse effect of the medication?

Correct Answer is B

Explanation

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