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The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?

Oxygen saturation 95%

Respirations 12 breaths per minute

Blood pressure 134/72

Pulse 52 beats per minute

Answer and Explanation

The Correct Answer is D

A. Oxygen saturation within the normal range does not indicate a need to question administering atenolol.

B. Respiratory rate within the normal range does not indicate a need to question administering atenolol.

C. Blood pressure within the normal range does not indicate a need to question administering atenolol.

D. Atenolol is a beta blocker, which can lower heart rate. A pulse of 52 beats per minute may be too low, especially if the client is experiencing angina, and the nurse should assess further before administering the medication.

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Correct Answer is B

Explanation

A. Bile acid agents primarily work by binding to bile acids in the intestines, leading to increased excretion of bile acids and cholesterol, but they are not specifically indicated for reducing triglyceride levels.

B. Fibric acid agents, such as gemfibrozil and fenofibrate, are considered the drug of choice for decreasing triglyceride levels, primarily by increasing the breakdown of triglyceride-rich particles and reducing hepatic triglyceride production.

C. HMG-CoA reductase inhibitors (statins) primarily lower LDL cholesterol levels but may also have modest effects on triglyceride levels.

D. Statins primarily target LDL cholesterol levels and are not considered the first-line therapy specifically for reducing triglyceride levels.

A. Slow heart rate and difficulty standing B. Chest pain on physical exertion or emotional stress C. Sudden weakness with severe headache D. Difficulty breathing and increased temperature

Correct Answer is B

Explanation

A. Slow heart rate and difficulty standing are not typical symptoms of angina.

B. Chest pain that occurs on physical exertion or emotional stress is the classic symptom of angina, caused by reduced blood flow to the heart muscle.

C. Sudden weakness with a severe headache could suggest other medical issues such as a stroke, not angina.

D. Difficulty breathing and increased temperature are not specific to angina and could indicate other health problems like infection or respiratory issues.

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The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?

Nursing Test Bank

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