A nurse is collecting data from a client prior to administering metoprolol. For which of the following findings should the nurse withhold the medication?

Blood pressure 160/94 mm Hg

Oxygen saturation 95%

Heart rate 50/min

Respiratory rate 18/min

Answer and Explanation

The Correct Answer is C

(A) Blood pressure 160/94 mm Hg:
Metoprolol is a beta-blocker commonly used to treat hypertension. A blood pressure reading of 160/94 mm Hg indicates hypertension, which is an indication for administering metoprolol, not withholding it.

(B) Oxygen saturation 95%:
An oxygen saturation of 95% is within the normal range and does not provide a reason to withhold metoprolol. Oxygen saturation levels are not directly impacted by this medication in a way that would warrant withholding it.

(C) Heart rate 50/min:
A heart rate of 50/min is bradycardia (a slow heart rate). Metoprolol can further lower the heart rate, so it should be withheld if the client is already experiencing bradycardia. The nurse should notify the healthcare provider for further instructions.

(D) Respiratory rate 18/min:
A respiratory rate of 18/min is within the normal range (12-20 breaths per minute) and does not provide a reason to withhold metoprolol. Respiratory rate is not typically a contraindication for this medication unless there are specific respiratory conditions or other related symptoms present.

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Correct Answer is ["2"]

Explanation

Let's calculate how many tablets the nurse should administer:

Dosage prescribed: The doctor prescribed digoxin 0.25 mg.

Tablet strength: Each available tablet contains 0.125 mg of digoxin.

To find out how many tablets are needed, we can divide the prescribed dosage by the amount of digoxin per tablet:

Number of tablets = Prescribed dosage / Amount of digoxin per tablet

Number of tablets = 0.25 mg / 0.125 mg/tablet

Since we might get a decimal result due to the division, we need to round to the nearest whole number of tablets the nurse can administer for safety reasons.

In this case, dividing 0.25 mg by 0.125 mg/tablet gives us 2.

Therefore, rounding up to the nearest whole number of tablets, the nurse should administer 2 tablets.

A. A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows. B. A9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water C. A3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on tablecloth, spilling a cup of tea on himself. D. A 6-year-old child who has a spiral fracture of the tibia and fibula, which reportedly occurred while riding a bicycle

Correct Answer is D

Explanation

A. A 14-month-old toddler with bruises on bony prominences:

Bruises on bony prominences are common in toddlers who are learning to walk and are prone to falls. While bruising can raise concerns, it is not necessarily indicative of physical abuse, especially in this age group.

B. A 9-month-old infant who sustained near drowning:

Near drowning in an infant who climbed into the tub and turned on the water suggests an accidental event rather than physical abuse. This scenario is consistent with lack of supervision or an unfortunate accident.

C. A 3-year-old toddler with scalding burns:

Scalding burns from spilling hot tea on oneself can occur accidentally, especially in young children who may not understand the dangers associated with hot liquids. While the circumstances may raise suspicion, it does not necessarily indicate physical abuse without further evidence.

D. A 6-year-old child with a spiral fracture:

A spiral fracture of the tibia and fibula is concerning for physical abuse, especially in a child who reportedly sustained the injury while riding a bicycle. Spiral fractures are often associated with twisting or pulling forces and are considered suspicious for non-accidental trauma, particularly when there is no plausible explanation for the injury.

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A nurse is collecting data from a client prior to administering metoprolol. For which of the following findings should the nurse withhold the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer digoxin 0.25 mg PO to a client. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is caring for four clients at an urgent care center. Which of the following clients should the nurse suspect has been physically abused?

Correct Answer is D

Explanation

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