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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sleepiness is not typically associated with a low lithium level.
B. A relaxed appearance is not typically associated with a low lithium level.
C. Calm behavior is not typically associated with a low lithium level.
D. A lithium level of 0.3 mEq/L is considered below the therapeutic range, which typically falls between 0.6 and 1.2 mEq/L. Therefore, a nurse would expect to assess symptoms of under-medication, such as potential recurrence of manic symptoms, such hyperactivity.
Correct Answer is D
Explanation
A. Nitroglycerin typically causes vasodilation and can lower blood pressure, rather than causing hypertension.
B. Diuresis, or increased urine production, is not a common adverse effect of nitroglycerin.
C. Nitroglycerin may cause a slight decrease in heart rate (bradycardia), but headache is a more common adverse effect.
D. Headache is the most common adverse effect of nitroglycerin, especially when first starting the medication or with dosage adjustments, due to vasodilation of blood vessels, including those in the head.
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