A nurse is medicating her patient and sees Metoprolol (Toprol XL) (Beta Blocker) on her patient's MAR. The nurse assesses her patient's heart rate and it is 56 beats per minute. What action should the nurse take?
Call the physician to get a hold order for the Metoprolol
Skip the dose and re-assess the patient's heart rate in 4 hours
Administer the medication as ordered
Call the physician to get an order for Lasix
The Correct Answer is A
A. Call the physician to get a hold order for the Metoprolol: A heart rate of 56 bpm may indicate bradycardia, which is a common contraindication to administering beta blockers like Metoprolol. The nurse should notify the physician before giving the medication.
B. Skip the dose and re-assess the patient's heart rate in 4 hours: Skipping medication without provider approval is unsafe. Re-assessment alone does not address the potential risk of bradycardia.
C. Administer the medication as ordered: Administering Metoprolol with a low heart rate risks worsening bradycardia and causing adverse effects such as dizziness or syncope. This can compromise cardiac output and patient safety.
D. Call the physician to get an order for Lasix: Lasix is a diuretic unrelated to heart rate management and is not appropriate in this situation. It does not address the bradycardia or the effects of Metoprolol on heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lung sounds: While important for respiratory assessment, lung sounds are not directly affected by diarrhea or dehydration unless complications such as aspiration or infection develop, which are less common in this context.
B. Activity level: Changes in activity may occur due to weakness or fatigue caused by fluid and electrolyte imbalances, but this is a less specific and less immediate indicator of dehydration risk.
C. Skin turgor: Assessing skin turgor helps evaluate hydration status. Poor skin turgor indicates fluid loss and dehydration, which is a common risk with prolonged diarrhea and can lead to more serious complications if untreated.
D. Heart sounds: Heart sounds can reveal cardiac abnormalities, but they are not the primary focus in assessing dehydration. However, monitoring heart rate and rhythm can provide additional information about circulatory status in severe cases.
Correct Answer is ["0.8"]
Explanation
Desired Dose: 4 mg
Available Concentration: 5 mg per 1 ml.
Volume (ml) = Desired Dose (mg) / Available Concentration (mg/ml)
= 4 mg / 5 mg/ml
= 0.8 ml
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