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A nurse is caring for a client who has hypertension and is to start taking atenolol.
The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?.

Constipation

Bradycardia.

Cough.

Headache.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Atenolol does not commonly cause constipation.

Choice B rationale:

Atenolol, a beta blocker, can slow heart rate, leading to bradycardia.

Choice C rationale:

Atenolol does not typically cause cough.

Choice D rationale:

While some may experience headache, it’s not a common side effect of atenolol.

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Correct Answer is B

Explanation

Choice A rationale:

Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.

Choice B rationale:

Propranolol can cause dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position. So, it’s important to sit on the side of the bed before standing up.

Choice C rationale:

Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.

Choice D rationale:

While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.

A. Check the client's vital signs B. Notify the charge nurse. C. Document an objective description of what has happened in the client's chart. D. Fill out an occurrence report according to institutional policy.

Correct Answer is A

Explanation

Choice A rationale:

The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.

Choice B rationale:

Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.

Choice C rationale:

Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.

Choice D rationale:

Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.

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A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?.

Nursing Test Bank

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A nurse is caring for a client who has hypertension and is to start taking atenolol.
The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?.