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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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Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

A. Dizziness is a common side effect of nitroglycerin due to its vasodilatory effects.

B. Hyponatremia and hyperkalemia are not typically associated with nitroglycerin use.

C. Hyponatremia is not typically associated with nitroglycerin use.

D. Hypotension is a common side effect of nitroglycerin due to its vasodilatory effects.

E. Reflex tachycardia, or an increase in heart rate, can occur as a compensatory response to the drop in blood pressure caused by nitroglycerin.

A. GABA and serotonin B. Epinephrine and norepinephrine C. Norepinephrine and serotonin D. Reticular formation

Correct Answer is C

Explanation

A. GABA (gamma-aminobutyric acid) is not typically targeted by antidepressants.

B. While some antidepressants may indirectly affect epinephrine and norepinephrine levels, the primary mechanism of action for most antidepressants is through increasing levels of serotonin and/or norepinephrine.

C. Antidepressants commonly work by increasing the levels of neurotransmitters such as norepinephrine and serotonin in the brain.

D. The reticular formation is not directly involved in the mechanism of action of antidepressants.

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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

Naxlex Comprehensive Predictor Exams

A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

A patient asks how most antidepressants work. The nurse responds by saying that antidepressants improve mood by increasing levels of:

Correct Answer is C

Explanation

What is the most common adverse effect of nitroglycerin for which the patient is monitored?

The client asks the nurse why the Transdermal Nitroglycerin patch needs to be off for 12 hours per day. What is the best response by the nurse?

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The patient is complaining of a viselike pain in the chest and has been diagnosed with a myocardial infarction. The nurse anticipates that he may be given which of the following medications? (Select all that apply.)

A child diagnosed with ADHD would likely exhibit which symptoms? (Select all that apply.)

The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?

A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil (Viagra). The nurse knows that sildenafil is contraindicated due to an interaction with which of the following client's medications?