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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Free Nursing Study Resources

Correct Answer is D

Explanation

(A) Determine the client’s blood pressure 1 min after each position change: While it’s important to check the client’s blood pressure after each position change when assessing for orthostatic hypotension, this is not the first step. The nurse should first establish a baseline blood pressure reading with the client in a supine position.

(B) Place the client in a sitting position: Although the nurse will eventually need to check the client’s blood pressure in a sitting position, the first step is to get a baseline reading with the client in a supine position.

(C) Assist the client into a standing position: The nurse will eventually assist the client into a standing position to check for changes in blood pressure, but this is not the first step. The initial step is to get a baseline reading with the client in a supine position.

(D) Check the blood pressure with the client in a supine position: This is the most appropriate first step. When checking for orthostatic hypotension, the nurse should first check the client’s blood pressure while they are lying flat (supine). This provides a baseline reading against which subsequent readings (taken when the client is sitting and standing) can be compared. If there’s a significant drop in blood pressure upon standing, this could indicate orthostatic hypotension.

A. Correctly identity clients prior to administering medications. B. Educate clients about health promotion and prevention. C. Prevent catheter-associated urinary tract infections in clients. D. Improve communication among staff members. E. increase job satisfaction for staff members.

Correct Answer is ["A","C","D"]

Explanation

(A) Correctly identify clients prior to administering medications: This is a key goal of the National Patient Safety Goals (NPSGs). Correctly identifying patients before administering medications helps to prevent medication errors and ensures patient safety.

(B) Educate clients about health promotion and prevention: While this is an important aspect of nursing care, it is not specifically listed as a National Patient Safety Goal.

(c) Prevent catheter-associated urinary tract infections in clients: Preventing healthcare-associated infections, including catheter-associated urinary tract infections, is a major focus of the NPSGs.

(D) Improve communication among staff members: Effective communication among healthcare providers is crucial for patient safety and is a key goal of the NPSGs.

(E) Increase job satisfaction for staff members: While job satisfaction can indirectly impact patient safety, it is not a specific goal of the NPSGs. The NPSGs are primarily focused on direct measures to improve patient safety.

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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 collecting data on a client to check for orthostatic hypotension. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is assisting with teaching a class about National Patient safety Goals (NPSGS). Which of the following goals should the nurse include? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

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