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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Propranolol is a beta-blocker agent that is used to block beta adrenoceptors on blood vessels that leads to lower the heart rate. It used in clients with hypertension and heart failure. However, a heart rate below 60/min is alarming as the client is likely to develop symptoms of reduced perfusion such as fatigue
Spo2 of 95% and a respiratory rate of 22 are okay and not related to propranolol unless the client is asthmatic
D-A blood pressure of 106/68 is normal and requires no intervention
Correct Answer is D
Explanation
Respiratory rate of 10/min indicates respiratory depression which a potential adverse effect of morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
A.- Elevated blood pressure is not directly related to morphine use . Could be an indication of pain
B.-Normal temperature
C.-Normal heart rate
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