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

Answer and Explanation

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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Correct Answer is B

Explanation

a) Taking sucralfate with an antacid is not recommended, as antacids can interfere with the effectiveness of sucralfate.

b) Sucralfate should be taken 30 to 60 minutes before meals to ensure optimal binding to the gastric mucosa and to form a protective barrier.

c) Taking sucralfate whenever indigestion occurs may not provide consistent protection, as its effectiveness is enhanced when taken before meals.

d) Taking sucralfate immediately after meals is not recommended, as it may interfere with its ability to form a protective coating on the gastric mucosa.

A. A Consume extra fluids while taking the ciprofloxacin to prevent hypercalciuria. B. B Take the calcium either six hours before or two hours after taking the ciprofloxacin. C. C Stop taking the calcium supplements while taking the ciprofloxacin. D. D Take the two medications together to increase the absorption of both.

Correct Answer is B

Explanation

A) Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.

B) Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.

C) Stopping calcium supplements may not be necessary, but proper timing is crucial.

D) Taking the medications together can reduce the absorption of both, so they should be spaced apart.

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Which of these findings would cause the nurse to hold the administration of oral metoprolol 25 mg?

Nursing Test Bank

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