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
Explanation
Choice A rationale
Beclomethasone (QVAR) is an inhaled corticosteroid used for long-term prophylaxis of asthma. It works by reducing inflammation in the airways, preventing asthma attacks and improving lung function.
Choice B rationale
Metoprolol is a beta-adrenergic blocker used for treating hypertension and certain heart conditions. It is not used for asthma management.
Choice C rationale
Phenytoin is an antiepileptic medication used to control seizures. It does not have a role in asthma management.
Choice D rationale
Furosemide is a loop diuretic used to treat conditions like edema and hypertension by promoting the excretion of excess fluid. It is not indicated for asthma management.
Correct Answer is C
Explanation
Choice A rationale
Long-acting medications provide long-term control of symptoms but albuterol is short-acting.
Choice B rationale
Albuterol is not indicated for the treatment of nasal congestion.
Choice C rationale
Albuterol is an inhaled short-acting beta agonist used to prevent and treat bronchospasm in asthma.
Choice D rationale
Albuterol is not used for managing cold symptoms.
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