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 B
Explanation
Choice A rationale
Benztropine is an anticholinergic agent used to treat Parkinsonism and extrapyramidal symptoms, not suitable for reversing heparin effects.
Choice B rationale
Protamine sulfate is the specific antidote for heparin overdose. It works by neutralizing the anticoagulant effects of heparin.
Choice C rationale
Vitamin K is an antidote for warfarin overdose, promoting the synthesis of clotting factors, but ineffective against heparin.
Choice D rationale
Digibind is an antidote for digoxin toxicity, not appropriate for counteracting heparin.
Correct Answer is C
Explanation
Choice A rationale
Simvastatin is used to lower cholesterol levels and is not indicated for the management of DVT.
Choice B rationale
Furosemide is a diuretic used to treat fluid retention and high blood pressure, not DVT.
Choice C rationale
Enoxaparin is an anticoagulant that helps to prevent and treat deep vein thrombosis by inhibiting clot formation.
Choice D rationale
Gemfibrozil is used to reduce triglyceride levels and is not indicated for DVT management.
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