A nurse is caring for a client with hypertension that is prescribed metoprolol due at 0900.
The nurse took the client's blood pressure at 0855, and it was noted to be 80/60. The client also notes that he feels dizzy and weak.
What is the next intervention for the nurse?
Administer metoprolol as scheduled.
Withhold the medication and notify the provider.
Administer an additional dose of metoprolol.
Administer lisinopril instead of the prescribed dose of metoprolol.
The Correct Answer is B
Choice B rationale
Withholding the medication and notifying the provider is the appropriate intervention when a client's blood pressure is significantly low, such as 80/60 mmHg. Administering metoprolol, a beta-blocker, in this scenario could further lower the blood pressure, causing more harm. The provider needs to be informed to reassess the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Anaphylaxis is a severe, potentially life-threatening allergic reaction. Fluticasone is not used for treating anaphylaxis.
Choice B rationale
Insomnia is a sleep disorder. Fluticasone is not used for treating insomnia.
Choice C rationale
Motion sickness is a condition that occurs in response to certain kinds of movement. Fluticasone is not used for treating motion sickness.
Choice D rationale
Fluticasone (Flonase) is a corticosteroid used to reduce the effects of allergies, including sneezing, nasal itching, and runny nose. It works by reducing inflammation in the nasal passages.
Correct Answer is A
Explanation
Choice A rationale
A receptor antagonist blocks the effects of normal cellular functions by binding to receptor sites and preventing endogenous substances (like hormones or neurotransmitters) from activating those receptors.
Choice B rationale
Receptor antagonists do not accelerate hormones attaching to cell receptor sites; they prevent this process by blocking the receptors.
Choice C rationale
Receptor antagonists do not minimize the risk of other medications becoming toxic. They specifically block the action of certain endogenous substances.
Choice D rationale
Receptor antagonists do not increase the action of cells; rather, they inhibit or block the usual effects.
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