A patient is to receive a beta agonist. Before administration of this medication, which assessment finding would most concern the nurse?
Pulse oximetry reading of 95%
Respiratory rate of 22 breaths per minute
Blood pressure of 100/60 mm Hg
Heart rate of 120 beats/min
The Correct Answer is D
Choice A reason: Pulse oximetry of 95% is near normal and not a major concern for beta agonist administration. Tachycardia is more critical due to cardiac stimulation, so this is incorrect.
Choice B reason: A respiratory rate of 22 is slightly elevated but acceptable in respiratory conditions. Beta agonists target airways, but tachycardia is a greater risk, making this incorrect.
Choice C reason: Blood pressure of 100/60 mm Hg is low, but beta agonists primarily affect heart rate. A pre-existing tachycardia is more concerning contraindication, so this is incorrect.
Choice D reason: A heart rate of 120 beats/min is concerning, as beta agonists increase heart rate, risking arrhythmias. This requires evaluation before administration, making it the correct concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Patient preference is not a primary concern in food-drug interactions; physiological effects are. Grapefruit’s impact on metabolism is significant, so this is incorrect for the true statement.
Choice B reason: Foods can alter absorption and metabolism, but some also affect drug action (e.g., tyramine with MAOIs). This statement is incomplete, making it incorrect compared to grapefruit’s specific effect.
Choice C reason: Grapefruit inhibits CYP isoenzymes, altering drug metabolism and increasing drug levels. This is a well-documented interaction, making it the correct true statement about food-drug interactions.
Choice D reason: Not all medications are best absorbed with food; some require empty stomachs. Grapefruit’s metabolic interaction is more accurate, so this is incorrect for the true statement.
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: Electronic order entry systems reduce errors by standardizing prescriptions and flagging issues. This enhances safety, making it a correct preventive strategy.
Choice B reason: Naming and shaming create fear, discouraging error reporting and learning. Nonpunitive approaches are effective, so this is incorrect for preventing errors.
Choice C reason: Prosecuting caregivers deters transparency, hindering error analysis. Supportive tracking systems prevent errors, so this is incorrect for effective strategies.
Choice D reason: Engaging patients as informed team members improves adherence and catches errors. This collaborative approach is effective, making it a correct choice.
Choice E reason: Nonpunitive error tracking encourages reporting, identifying patterns to prevent future mistakes. This is a proven method, making it a correct choice.
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