Which of these findings would cause the nurse to hold the administration of oral metoprolol 25 mg?
Blood pressure of 92/44 mmHg
Respiratory rate of 26 breaths per minute
Heart rate of 92 beats per minute
Oxygen saturation level of 95% on room air
The Correct Answer is A
A) The nurse should hold the administration of oral metoprolol 25 mg if the blood pressure of the patient is 92/44 mmHg, as this indicates hypotension, which can be worsened by the beta blocker effect of metoprolol.
B) A respiratory rate of 26 breaths per minute is within the acceptable range for administering metoprolol.
C) A heart rate of 92 beats per minute is within the acceptable range for administering metoprolol.
D) Holding the administration of metoprolol may be appropriate if the oxygen saturation level is low. Metoprolol is primarily used for heart rate and blood pressure control and may not be the immediate concern in a client with low oxygen saturation. The healthcare provider should be consulted for further guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Antibiotics can interact with warfarin, potentially affecting the INR, so dose adjustments may be necessary.
B) Pink urine is not an expected side effect of warfarin; this statement is inaccurate.
C) Eating spinach to increase iron count is not a relevant action related to warfarin or INR levels.
D) Warfarin interacts with many substances, including herbal remedies and aspirin. Notifying the provider before taking new medications or supplements is crucial for proper management.
Correct Answer is B
Explanation
a) A digoxin level of 1.2 ng/mL is within the therapeutic range, and holding the medication based solely on the level may not be necessary.
b) Seeing yellow-green halos is a symptom of digoxin toxicity, and holding the medication is appropriate to prevent further adverse effects.
c) Edema alone may not be a contraindication for administering digoxin; the nurse would assess other factors such as heart rate and rhythm.
d) Pacing and thirst are not specific signs of digoxin toxicity, and the nurse would need to assess other symptoms and factors before deciding to hold the medication.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.