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.

Answer and Explanation

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.

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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.

A. Antagonistic reaction. B. Synergistic reaction. C. Additive reaction. D. Neutral reaction.

Correct Answer is C

Explanation

Choice A rationale

Antagonistic reactions occur when one drug interferes with the action of another, decreasing its effectiveness. This is not applicable in this case as aspirin and alcohol together increase the risk of bleeding rather than opposing each other's actions.

Choice B rationale

Synergistic reactions happen when two drugs enhance each other's effects. Aspirin and alcohol together can indeed increase the risk of gastrointestinal bleeding, but this is not referred to as a synergistic reaction.

Choice C rationale

Additive reactions occur when two drugs with similar effects add up to a greater effect. Aspirin and alcohol both increase the risk of bleeding, and their combined effect leads to gastrointestinal bleeding.

Choice D rationale

Neutral reactions imply that the drugs do not interact and have no combined effect, which is incorrect here as the combination of aspirin and alcohol leads to an increased risk of GI bleeding.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a new prescription for fluticasone (Flonase). Which of the following is a therapeutic use for this medication?

Correct Answer is D

Explanation

A staff nurse is working with a client on the medical unit.The health care provider prescribes aspirin for the client to treat headache.The client forgets and drinks two bottles of beer, which caused GI bleeding.How should the nurse analyze this drug-drug interaction?

Correct Answer is C

Explanation

A nurse is educating a client about self-administering regular insulin.The nurse understands that the injection of insulin can cause lipohypertrophy.What should be included in the nurse's education to prevent lipohypertrophy?

Verify the client's identity and administer the medication as prescribed.

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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?

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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?