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

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Correct Answer is ["0.5"]

Explanation

Desired dose: 25 mg

Available dose: 50 mg/tab

Formula:

Tabletstoadminister=Desireddose ÷ Availabledosepertablet

= 25mg ÷ 50mg/tab

= 0.5 tablets

Therefore, the nurse should administer 0.5 tablet(s) per dose.

A. Use alcohol pad to wipe the skin before placing the electrodes B. No movement during the test, you should try to lay still. C. Inspect electrodes while preparing for test D. Administer an analgesic prior to the procedure E. Instruct the client to breath normally F. Keep the client NPO after midnight.

Correct Answer is ["A","B","C","E"]

Explanation

A. Use alcohol pad to wipe the skin before placing the electrodes: Cleaning the skin with alcohol before applying the electrodes helps remove oils and dirt, ensuring better contact and more accurate readings.

B. "No movement during the test, you should try to lay still." The client should remain still during the ECG to avoid muscle movements or artifacts that can interfere with the ECG tracing.

C. Inspect electrodes while preparing for test: Inspecting electrodes ensures that they are functioning correctly and are not damaged, which can affect the accuracy of the ECG.

D. Administer an analgesic prior to the procedure: An analgesic is not necessary for an ECG as the procedure is non-invasive and painless.

E. Instruct the client to breathe normally: Instructing the client to breathe normally helps avoid unnecessary movement of the chest, which could distort the ECG tracing.

F. Keep the client NPO after midnight: There is no need to keep the client NPO for an ECG, as it is not a procedure requiring sedation or fasting.

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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

Correct Answer is ["0.5"]

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.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is preparing to administer potassium chloride 20 mEq. The amount available is potassium chloride liquid 40 mEq/15 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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 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 about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?

A nurse is reinforcing discharge teaching for a client who will be taking warfarin (Coumadin) at home. Which of the following statements indicates that the client understands the risks while taking this medication?

A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue. The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?