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","C","D","E"]
Explanation
a) Liver disease can affect drug metabolism and clearance, influencing the response to medications.
b) Gender may play a role in drug response, as there are some gender-related differences in drug metabolism and distribution.
c) Height can influence drug dosing, especially for medications with weight-based dosing.
d) Age is a crucial factor in drug response, as the metabolism and elimination of drugs can vary across different age groups.
e) Genetic factors, including variations in drug-metabolizing enzymes and drug receptors, can significantly impact an individual's response to a drug.
Correct Answer is ["0.5"]
Explanation
- The formula is: (Desired dose / Available dose) x Quantity = Number of tablets - In this case: (10 mg / 20 mg) x 1 tablet = 0.5 tablet
- Round the answer to the tenth, or one decimal place, as instructed.
- The final answer is: 0.5 tablet
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