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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Gradually reducing the prescribed dose of an antiepileptic like phenytoin without consulting the healthcare provider can lead to increased seizure activity. This is not a recommended self care measure.
B) Expecting green urine is not associated with phenytoin. This statement is not accurate.
C) Phenytoin can cause gingival hyperplasia and other oral health issues. Emphasizing good oral hygiene practices, such as brushing after every meal and flossing daily, is crucial.
D) Instilling mineral oil into both ears is not a self-care measure related to phenytoin.
Correct Answer is B
Explanation
a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.
b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.
c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.
d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.
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