A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?
Hydrochlorothiazide
Lisinopril
Atenolol
Aspirin
The Correct Answer is C
A. Hydrochlorothiazide does not affect heart rate and can be safely given.
B. Lisinopril does not cause bradycardia.
C. Atenolol is a beta-blocker that slows heart rate; withholding is necessary for bradycardia.
D. Aspirin does not influence heart rate and is not contraindicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer naloxone: Naloxone is used for opioid overdoses, not acetaminophen.
B. Monitor amylase and lipase: This is not necessary for acetaminophen overdose.
C. Obtain a chest x-ray: This is unnecessary unless there is suspicion of aspiration or trauma.
D. Give acetylcysteine: Acetylcysteine is the antidote for acetaminophen overdose and helps prevent liver damage.
Correct Answer is B
Explanation
A. "I will crush the tablet to make it easier to swallow.": Sustained-release tablets should not be crushed or chewed, as this alters the release mechanism.
B. "I will increase my daily intake of fiber and fluid.": Verapamil can cause constipation, so increasing fiber and fluid intake helps prevent this side effect.
C. "I will follow up with monthly laboratory tests to check for anemia.": Verapamil does not typically require monitoring for anemia.
D. "I will sit upright for 30 minutes after taking the medication.": This advice is more relevant for medications that can cause esophageal irritation, such as bisphosphonates, not verapamil.
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