A nurse caring for a client who has a new prescription for atenolol, a Beta Blocker. For which of the following adverse effects should the nurse monitor the client?

Anemia

Neutropenia

Bradycardia

Hypokalemia

Answer and Explanation

The Correct Answer is C

A. Anemia: Anemia is not a common adverse effect associated with atenolol. Atenolol primarily affects the cardiovascular system by lowering heart rate and blood pressure.

B. Neutropenia: Neutropenia, is not typically associated with atenolol.

C. Bradycardia: Bradycardia is a common adverse effect of beta-blockers like atenolol, as they work by slowing down the heart rate and reducing myocardial oxygen demand.

D. Hypokalemia: Atenolol is not known to cause hypokalemia. Diuretics are more commonly associated with this electrolyte imbalance.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Withhold the digoxin dose for decreased heart rate. Digoxin should be withheld if the heart rate is less than 60 bpm because it can further slow the heart rate. The nurse should notify the provider and hold the medication.

B. Withhold the digoxin dose for elevated BP. Digoxin does not affect blood pressure, so an elevated BP is not a reason to withhold the medication.

C. Administer digoxin 0.125 mg. Changing the dosage is outside the nurse's scope of practice. The nurse should withhold the medication based on the client's heart rate and notify the provider.

D. Administer digoxin 0.25 mg. Given the client's heart rate of 54 bpm, administering digoxin would be unsafe, as it could further reduce the heart rate.

A. Obtain an x-ray of the right hip. B. Administer iron supplement C. Administer spironolactone D. Administer supplemental oxygen PRN E. Administer an IV fluid bolus.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

. Obtain an x-ray of the right hip:

Anticipated: After a fall, especially in an elderly client with a history of dizziness, it's important to rule out a hip fracture, a common and serious injury in this population.

2. Administer iron supplement

Anticipated: Maintaining adequate iron supplementation is important to address the client's chronic iron-deficiency anemia. This helps to support red blood cell production.

3. Administer spironolactone

Contraindicated: Administering spironolactone is contraindicated because the client’s potassium level is elevated at 5.8 mmol/L, indicating hyperkalemia. Spironolactone, a potassium-sparing diuretic, could further exacerbate this condition.

4. Administer supplemental oxygen PRN

Nonessential: Administering supplemental oxygen is nonessential at this time because the client’s oxygen saturation is 94% on room air, which is within the normal range.

5. Administer an IV fluid bolus

Anticipated: Administering an IV fluid bolus is anticipated due to the client’s signs of dehydration (e.g., tenting skin, dry skin, low blood pressure) and recent history of nausea and diarrhea.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Test:	Results:	Reference ranges:
White Blood Cell Count (WBC)	7000/µL	4,000-11,000/µL
Hemoglobin (Hb)	10.2 g/dl	12.0-15.5 g/dL
Hematocrit (Hct)	32%	37-47%
Platelets	250,000/µL	150,000-450,000/µL

Test	Result	Reference range
Sodium (Na):	132	135-145 mmol/L
Potassium (K):	5.8	3.5-5.0 mmol/L
Chloride (Cl):	97	98-106 mmol/L
Creatinine:	1.5	0.6-1.2 mg/dL
Blood Urea Nitrogen (BUN):	40	7-20 mg/dL

A nurse caring for a client who has a new prescription for atenolol, a Beta Blocker. For which of the following adverse effects should the nurse monitor the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily for heart failure. The client's current vital signs are: BP 144/96 mmHg, heart rate 54/min, respirations 18/min, and temperature 37◦ C (98.6◦ F). Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

A nurse is planning to perform an electrocardiogram (ECG) for a client who has a history of coronary heart disease. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings is a classic presentation of left-sided heart failure?

A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?

A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?

A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that the P wave represents which of the following cardiac electrical activities?

A nurse is performing an electrocardiogram on a client who has been experiencing chest pain over the past week or so. Which of the following statements should the nurse make to the patient prior to the test?

A nurse is reinforcing teaching with a client who is scheduled to have a permanent pacemaker implanted. Which of the following statements should the nurse include in the teaching?

A home health nurse is collecting data from a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg, as well as generalized edema, since the last visit 3 days ago. Which of the following actions is a priority for the nurse to take?