A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Check the client's glucose level.
Collect the client's uric acid level.
Obtain the client's HDL level.
Monitor the client's thyroid function levels.
The Correct Answer is A
Choice A rationale: Metformin is an antidiabetic medication, and administering it instead of metoprolol may affect the client's glucose levels. Checking the glucose level would help assess the impact and guide further actions.
Choice B rationale: Uric acid levels are not directly affected by metformin or metoprolol.
Choice C rationale: HDL levels are not directly impacted by the accidental administration of metformin instead of metoprolol.
Choice D rationale: Thyroid function levels are not immediately impacted by the accidental administration of metformin instead of metoprolol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tinnitus, or ringing in the ears, is not a common adverse effect of ergotamine, though it may occur with some other medications used for migraines. Ergotamine primarily affects the blood vessels and nervous system.
B. Paresthesias, which involve tingling, numbness, or a burning sensation, can occur as an adverse effect of ergotamine due to its vasoconstrictive properties. Clients should be informed to report any unusual sensations in their extremities.
C. Blurred vision is not typically associated with ergotamine use. It could be a sign of another underlying condition or side effect from other medications but is not directly related to ergotamine.
D. Hematuria, or blood in the urine, is not a known adverse effect of ergotamine. The medication's effects are mainly related to the vascular system, not the kidneys or urinary tract.
Correct Answer is B
Explanation
Choice A rationale: Nausea can be a common side effect of osmotic laxatives but may not directly indicate fluid volume deficit.
Choice B rationale: Oliguria (decreased urine output) can indicate fluid volume deficit in a client taking an osmotic laxative due to potential excessive fluid loss or dehydration.
Choice C rationale: Weight gain is not typically associated with fluid volume deficit; rather, it could indicate fluid retention.
Choice D rationale: Headaches might occur due to various reasons but might not directly indicate fluid volume deficit in this context.
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