A nurse caring for a client who has a new prescription for atenolol, a Beta Blocker. For which of the following adverse effects should the nurse monitor the client?
Anemia
Neutropenia
Bradycardia
Hypokalemia
The Correct Answer is C
A. Anemia: Anemia is not a common adverse effect associated with atenolol. Atenolol primarily affects the cardiovascular system by lowering heart rate and blood pressure.
B. Neutropenia: Neutropenia, is not typically associated with atenolol.
C. Bradycardia: Bradycardia is a common adverse effect of beta-blockers like atenolol, as they work by slowing down the heart rate and reducing myocardial oxygen demand.
D. Hypokalemia: Atenolol is not known to cause hypokalemia. Diuretics are more commonly associated with this electrolyte imbalance.
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Related Questions
Correct Answer is C
Explanation
A. Anemia: Anemia is not a common adverse effect associated with atenolol. Atenolol primarily affects the cardiovascular system by lowering heart rate and blood pressure.
B. Neutropenia: Neutropenia, is not typically associated with atenolol.
C. Bradycardia: Bradycardia is a common adverse effect of beta-blockers like atenolol, as they work by slowing down the heart rate and reducing myocardial oxygen demand.
D. Hypokalemia: Atenolol is not known to cause hypokalemia. Diuretics are more commonly associated with this electrolyte imbalance.
Correct Answer is D
Explanation
A. Serum sodium level of 140 mEq/L (136-145): A sodium level of 140 mEq/L is within the normal range and does not warrant withholding furosemide.
B. Serum potassium level of 4.8 mEq/L (3.5-5.0): A potassium level of 4.8 mEq/L is also within the normal range, and this finding would not be a reason to withhold furosemide.
C. Oxygen saturation of 95%: An oxygen saturation of 95% is within normal limits and would not be a contraindication to administering furosemide.
D. Blood pressure of 80/40 mm Hg: Furosemide is a potent diuretic that can further lower blood pressure. A blood pressure of 80/40 mm Hg is already hypotensive, and administering furosemide could exacerbate this, potentially leading to shock. Therefore, the medication should be withheld.
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