A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?

Heart rate 48/min

Temperature 36.3° C (97.3° F)

Respiratory rate 10/min

Blood pressure 138/76 mm Hg

Answer and Explanation

The Correct Answer is A

A. A heart rate of 48/min indicates bradycardia, which is a known adverse effect of beta-blockers like metoprolol and may require dosage adjustment.

B. A temperature of 36.3° C (97.3° F) is within the normal range and not related to metoprolol's adverse effects.

C. While a respiratory rate of 10/min is on the lower side, it is less directly associated with metoprolol compared to bradycardia.

D. A blood pressure of 138/76 mm Hg is not indicative of an adverse effect of metoprolol, which is often used to manage blood pressure.

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Correct Answer is C

Explanation

A. The dosimeter badge should be worn by the individual nurse and not shared with others to accurately measure their own radiation exposure.

B. If the implant dislodges, the nurse should use forceps and a lead container, not just gloves, to handle it safely.

C. Limiting family member visits to 30 minutes per day reduces their radiation exposure.

D. Soiled linens should be handled according to radiation safety protocols and not removed immediately if it increases exposure risk to others.

A. Decreased heart rate B. Increased temperature C. Hypotension D. Lethargy

Correct Answer is B

Explanation

A. A decreased heart rate is not typical of thyroid storm; rather, tachycardia is common.

B. Increased temperature is a key sign of thyroid storm, characterized by a high fever and hyperthermia due to excessive thyroid hormone levels.

C. Hypotension is not associated with thyroid storm; instead, the condition often presents with hypertension or an increase in systolic blood pressure.

D. Lethargy is not characteristic of thyroid storm, which usually involves symptoms of agitation, restlessness, and hyperactivity.

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A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?

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