The nurse prepares to administer metoprolol to a patient with chronic stable angina. What is a priority assessment before the administration of this medication?
Temperature
Urinary function
Respiratory rate
Heart rate
The Correct Answer is D
Choice A rationale: Temperature is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice B rationale: Urinary function is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice C rationale: Respiratory rate is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice D rationale: The priority assessment before the administration of metoprolol is the heart rate. Metoprolol is a beta-blocker that primarily affects the heart rate, so it is important to assess for bradycardia before administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Allopurinol dosing is not typically adjusted based on target serum drug levels.
Choice B rationale: The absence of gastrointestinal (GI) effects is not a parameter used to adjust the dosing of allopurinol.
Choice C rationale: This is partially correct. Allopurinol dosing is adjusted based on renal function, but specifically, it is adjusted based on serum creatinine levels. The higher the creatinine levels, the lower the dose of allopurinol should be.
Choice D rationale: This is correct. Allopurinol dosing is adjusted based on plasma urate levels. The goal is to reduce uric acid levels in the blood to prevent the formation of urate crystals and subsequent gout attacks. Regular monitoring of plasma urate levels helps determine the effectiveness of the medication, and adjustments can be made to achieve the target urate level.
Correct Answer is A
Explanation
Choice A rationale: Abstinence syndrome (withdrawal) from alcohol is characterized by symptoms such as muscle cramps, tremors, and tachycardia.
Choice B rationale: Hyperventilation, chest pain, and ptosis are not typical manifestations of alcohol withdrawal.
Choice C rationale: Increased urination, dry cough, and hypothermia are not characteristic of alcohol withdrawal.
Choice D rationale: Epistaxis, ascites, and exophthalmos are not specific to alcohol withdrawal and may indicate other health issues.
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