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 D
Explanation
Choice A rationale: Taking spironolactone with or without food does not significantly affect its absorption.
Choice B rationale: Doubling the dose without consulting a healthcare provider can lead to adverse effects.
Choice C rationale: Using salt substitutes containing potassium might exacerbate hyperkalemia.
Choice D rationale: Spironolactone, a potassium-sparing diuretic, can increase potassium levels. Limiting potassium-rich foods is essential to prevent hyperkalemia, indicating an understanding of the teaching.
Correct Answer is A
Explanation
Choice A rationale: A lithium level of 2.6 mEq/L is significantly elevated and poses a risk of lithium toxicity. Hemodialysis is the most effective intervention to rapidly lower the lithium level in severe cases of toxicity.
Choice B rationale: Left lateral positioning is not the priority in this situation; immediate intervention to lower the lithium level is necessary.
Choice C rationale: Fluid restrictions alone might not rapidly lower the elevated lithium level in severe toxicity.
Choice D rationale: Given the elevated level, increasing the dosage would exacerbate toxicity and is inappropriate.
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