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 A

Explanation

A. Potassium 2.3 mEq/L (3.5-5.0): This is a severely low potassium level (hypokalemia), which can cause dangerous arrhythmias, especially in a client with heart failure. Bumetanide is a loop diuretic, which can deplete potassium levels.

B. Magnesium 1.4 mEq/L (1.3-2.1): Although the magnesium level is on the lower end of normal, it is not a critical value, and the primary concern here is the potassium level.

C. Calcium 10 mg/dL (9.9-10.5): This is a normal calcium level, so there is no need to notify the provider based on this result.

D. Sodium 136 mEq/L (136-145): This is a normal sodium level, so it would not warrant notifying the provider. The critical concern is the hypokalemia.

A. Shortness of breath while lying down B. Pitting edema of the lower legs C. Right upper quadrant pain D. Jugular venous distention

Correct Answer is A

Explanation

A. Shortness of breath while lying down: Orthopnoea is a common symptom of left-sided heart failure due to pulmonary congestion.

B. Pitting edema of the lower legs: Pitting edema is more commonly associated with right-sided heart failure, which leads to systemic venous congestion.

C. Right upper quadrant pain: Right upper quadrant pain is often associated with right-sided heart failure due to hepatic congestion, not left-sided heart failure.

D. Jugular venous distention: Jugular venous distention is a sign of right-sided heart failure, where there is systemic venous congestion.

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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

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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