A nurse is caring for a client with hypertension that is prescribed metoprolol due at 0900.
The nurse took the client's blood pressure at 0855, and it was noted to be 80/60. The client also notes that he feels dizzy and weak.
What is the next intervention for the nurse?
Administer metoprolol as scheduled.
Withhold the medication and notify the provider.
Administer an additional dose of metoprolol.
Administer lisinopril instead of the prescribed dose of metoprolol.
The Correct Answer is B
Choice B rationale
Withholding the medication and notifying the provider is the appropriate intervention when a client's blood pressure is significantly low, such as 80/60 mmHg. Administering metoprolol, a beta-blocker, in this scenario could further lower the blood pressure, causing more harm. The provider needs to be informed to reassess the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Gemfibrozil is a fibrate that reduces triglycerides and increases HDL cholesterol, commonly used to treat hyperlipidemia.
Choice B rationale
Simvastatin is a statin that inhibits HMG-CoA reductase, reducing LDL cholesterol levels and is used in managing hyperlipidemia.
Choice C rationale
Enalapril is an ACE inhibitor used to manage hypertension and heart failure, not typically used for hyperlipidemia.
Choice D rationale
Warfarin is an anticoagulant used to prevent blood clots and is not used for treating hyperlipidemia.
Choice E rationale
Fenofibrate is another fibrate like gemfibrozil, used to reduce triglycerides and increase HDL cholesterol, making it an anti-lipemic medication.
Correct Answer is B
Explanation
Choice A rationale
Morphine has a high potential for abuse due to its euphoric effects and the risk of developing physical dependence and addiction with prolonged use.
Choice B rationale
Morphine acts as an agonist on the mu and kappa receptors in the central nervous system, providing analgesic effects by altering the perception of and response to pain.
Choice C rationale
Morphine is a potent analgesic that is more effective than butorphanol, which is a mixed agonist-antagonist with less potency and a ceiling effect on pain relief.
Choice D rationale
Morphine is primarily used for pain management and is not indicated for preventing fevers.
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