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.

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Correct Answer is C

Explanation

A. Orthopnea: Orthopnea is more commonly associated with left-sided heart failure.

B. Dyspnea: Dyspnea is more indicative of left-sided heart failure, where fluid backs up into the lungs, causing difficulty breathing.

C. Peripheral edema: Peripheral edema is a classic symptom of right-sided heart failure due to the backup of blood in the systemic circulation, leading to fluid retention in the lower extremities.

D. Frothy sputum: Frothy sputum is typically associated with left-sided heart failure due to pulmonary congestion and edema.

A. The QRS intervals are 0.08 second. B. The ST segment is above the isoelectric line. C. The QT interval is equal to the R to R interval. D. The PR Intervals are 0.15 second.

Correct Answer is B

Explanation

A. The QRS intervals are 0.08 second: A QRS interval of 0.08 seconds is within the normal range (0.06 to 0.10 seconds) and does not indicate myocardial infarction.

B. The ST segment is above the isoelectric line: ST-segment elevation is a hallmark finding of an acute myocardial infarction (STEMI), indicating myocardial injury.

C. The QT interval is equal to the R to R interval: This finding does not suggest myocardial infarction and could indicate other arrhythmias.

D. The PR Intervals are 0.15 second: A PR interval of 0.15 seconds is within the normal range (0.12 to 0.20 seconds), and this finding does not suggest an acute myocardial infarction.

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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 collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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