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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Orthopnea: Orthopnea is more commonly associated with left-sided heart failure.

B. Dyspnea: Dyspnea is more indicative of left-sided heart failure, where fluid backs up into the lungs, causing difficulty breathing.

C. Peripheral edema: Peripheral edema is a classic symptom of right-sided heart failure due to the backup of blood in the systemic circulation, leading to fluid retention in the lower extremities.

D. Frothy sputum: Frothy sputum is typically associated with left-sided heart failure due to pulmonary congestion and edema.

A. Obtain an x-ray of the right hip. B. Administer iron supplement C. Administer spironolactone D. Administer supplemental oxygen PRN E. Administer an IV fluid bolus.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

. Obtain an x-ray of the right hip:

Anticipated: After a fall, especially in an elderly client with a history of dizziness, it's important to rule out a hip fracture, a common and serious injury in this population.

2. Administer iron supplement

Anticipated: Maintaining adequate iron supplementation is important to address the client's chronic iron-deficiency anemia. This helps to support red blood cell production.

3. Administer spironolactone

Contraindicated: Administering spironolactone is contraindicated because the client’s potassium level is elevated at 5.8 mmol/L, indicating hyperkalemia. Spironolactone, a potassium-sparing diuretic, could further exacerbate this condition.

4. Administer supplemental oxygen PRN

Nonessential: Administering supplemental oxygen is nonessential at this time because the client’s oxygen saturation is 94% on room air, which is within the normal range.

5. Administer an IV fluid bolus

Anticipated: Administering an IV fluid bolus is anticipated due to the client’s signs of dehydration (e.g., tenting skin, dry skin, low blood pressure) and recent history of nausea and diarrhea.

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Test:	Results:	Reference ranges:
White Blood Cell Count (WBC)	7000/µL	4,000-11,000/µL
Hemoglobin (Hb)	10.2 g/dl	12.0-15.5 g/dL
Hematocrit (Hct)	32%	37-47%
Platelets	250,000/µL	150,000-450,000/µL

Test	Result	Reference range
Sodium (Na):	132	135-145 mmol/L
Potassium (K):	5.8	3.5-5.0 mmol/L
Chloride (Cl):	97	98-106 mmol/L
Creatinine:	1.5	0.6-1.2 mg/dL
Blood Urea Nitrogen (BUN):	40	7-20 mg/dL

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

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