A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the clients
Hypokalemia
Bradycardia
Anemia
Neutropenia
The Correct Answer is B
Atenolol is a beta-blocker medication commonly used to treat conditions such as hypertension (high blood pressure) and certain heart rhythm disorders. One of the intended effects of atenolol is to lower the heart rate by blocking the action of adrenaline on beta receptors in the heart. However, this can sometimes result in bradycardia, which refers to a heart rate that is slower than the normal range.
Hypokalemia, or low potassium levels, is not directly caused by atenolol but can be an indirect effect. Beta-blockers like atenolol can potentially interfere with the normal release of insulin and contribute to increased urinary excretion of potassium. Therefore, it's important to monitor potassium levels in clients taking atenolol, as low potassium levels can have adverse effects on various body systems.
Anemia and neutropenia are not typically associated with the use of atenolol. Anemia refers to a decrease in the number of red blood cells or a decrease in the amount of hemoglobin, which carries oxygen to the body tissues. Neutropenia refers to a decrease in the number of neutrophils, which are a type of white blood cell involved in fighting infection.
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Related Questions
Correct Answer is B
Explanation
Atenolol is a beta-blocker medication commonly used to treat conditions such as hypertension (high blood pressure) and certain heart rhythm disorders. One of the intended effects of atenolol is to lower the heart rate by blocking the action of adrenaline on beta receptors in the heart. However, this can sometimes result in bradycardia, which refers to a heart rate that is slower than the normal range.
Hypokalemia, or low potassium levels, is not directly caused by atenolol but can be an indirect effect. Beta-blockers like atenolol can potentially interfere with the normal release of insulin and contribute to increased urinary excretion of potassium. Therefore, it's important to monitor potassium levels in clients taking atenolol, as low potassium levels can have adverse effects on various body systems.
Anemia and neutropenia are not typically associated with the use of atenolol. Anemia refers to a decrease in the number of red blood cells or a decrease in the amount of hemoglobin, which carries oxygen to the body tissues. Neutropenia refers to a decrease in the number of neutrophils, which are a type of white blood cell involved in fighting infection.
Correct Answer is ["13"]
Explanation
To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:
Volume to be infused: 1,200 ml
Drop factor: 15 gtt/ml
Time: 24 hr
First, we need to convert the time from hours to minutes:
24 hr * 60 min/hr = 1,440 min
Now, we can calculate the infusion rate:
Infusion rate (gtt/min) = (1,200 ml * 15 gtt/ml) / 1,440 min
Simplifying the equation:
Infusion rate (gtt/min) = 18,000 gtt / 1,440 min
Dividing both sides:
Infusion rate (gtt/min) ≈ 12.5 gtt/min
Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 13 gtt/min.
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