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 B
Explanation
Choice A rationale
Excretion is a phase of pharmacokinetics where the drug or its metabolites are eliminated from the body, primarily via the kidneys.
Choice B rationale
Phlebitis is inflammation of a vein and is not a phase of pharmacokinetics. It is a medical condition rather than a pharmacokinetic process.
Choice C rationale
Distribution is a phase of pharmacokinetics where the drug is dispersed throughout the body’s tissues and fluids after absorption.
Choice D rationale
Absorption is a phase of pharmacokinetics where the drug is absorbed into the bloodstream from the site of administration.
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Taking one dose immediately and continuing the regular schedule might not provide sufficient contraceptive protection after missing three days.
Choice B rationale
Using an alternative form of contraception for 7 days is appropriate to ensure continued contraceptive protection after missing doses.
Choice C rationale
Taking two doses over the next two days can help catch up, but using an additional form of contraception for 7 days is also recommended to ensure protection.
Choice D rationale
Continuing the medication as prescribed without any additional precautions could result in ineffective contraception due to the missed doses.
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