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

Check the client's glucose level.

Monitor the client's thyroid function levels.

Collect the client's uric acid level.

Obtain the client's HDL level.

Answer and Explanation

The Correct Answer is A

Metformin is a glucose lowering agent that could lead to hypoglycemia in non-diabetics B,C,D- Metformin has no effect on thyroid function, uric acid and HDL levels

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Correct Answer is B

Explanation

Hypoglycemia is a potential complication of parenteral nutrition, especially if the infusion rate is too high or if the infusion is interrupted. The nurse should promptly address hypoglycemia by administering IV dextrose, which will help raise the client's blood glucose levels.
A. Discontinuing the infusion may be necessary if the cause of hypoglycemia is related to the parenteral nutrition solution or if the infusion rate needs adjustment. However, the immediate priority is to treat the hypoglycemia by providing a glucose source.
C. Warming the formula to room temperature is not relevant to treating hypoglycemia. Warming the formula might be done for other reasons, such as improving tolerance or reducing discomfort during administration.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia. Arterial blood gases are typically obtained to assess oxygenation and acid-base balance, not glucose levels.

A. "This medication will not interfere with the effectiveness of oral contraceptives." B. "You should take this medication once each day at bedtime." C. 'You can continue to wear soft contact lenses while taking this medication." D. 'Your urine will turn orange while you are taking this medication."

Correct Answer is D

Explanation

Rifampin, an antibiotic used to treat bacterial infections, can cause a reddish-orange discoloration of body fluids, including urine. This color change is due to the presence of rifampin metabolites, which are eliminated through the urine. The discoloration is a harmless side effect and is considered normal while taking the medication. It causes decreased effectiveness of oral contraceptives

A- Rifampin is an enzyme inducer that increases the rate of metabolism of oral contraceptive pills.

This leads to subtherapeutic levels that increases the risk of pregnancy.

B- The prescription may vary

C- Rifampin causes staining of contact lens and should, therefore, be avoided

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A nurse accidently 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 caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

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A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?