A nurse is collecting data from a client prior to administering metoprolol. For which of the following findings should the nurse withhold the medication?
Blood pressure 160/94 mm Hg
Oxygen saturation 95%
Heart rate 50/min
Respiratory rate 18/min
The Correct Answer is C
(A) Blood pressure 160/94 mm Hg:
Metoprolol is a beta-blocker commonly used to treat hypertension. A blood pressure reading of 160/94 mm Hg indicates hypertension, which is an indication for administering metoprolol, not withholding it.
(B) Oxygen saturation 95%:
An oxygen saturation of 95% is within the normal range and does not provide a reason to withhold metoprolol. Oxygen saturation levels are not directly impacted by this medication in a way that would warrant withholding it.
(C) Heart rate 50/min:
A heart rate of 50/min is bradycardia (a slow heart rate). Metoprolol can further lower the heart rate, so it should be withheld if the client is already experiencing bradycardia. The nurse should notify the healthcare provider for further instructions.
(D) Respiratory rate 18/min:
A respiratory rate of 18/min is within the normal range (12-20 breaths per minute) and does not provide a reason to withhold metoprolol. Respiratory rate is not typically a contraindication for this medication unless there are specific respiratory conditions or other related symptoms present.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(A) Treatment: While treatment is an important part of the client’s information, it is typically included in the “Recommendation” component of ISBARR, where the nurse would discuss the recommended treatment plan.
(B) List of medications: The list of medications a client is taking is crucial information, but it is usually included in the “Background” component of ISBARR, which provides context about the client’s medical history and current medications.
(C) Medical condition: This is the most appropriate answer. The “Situation” component of ISBARR is meant to provide a brief overview of the client’s current situation, which includes their current medical condition or reason for admission.
(D) Vital signs: Vital signs are typically included in the “Assessment” component of ISBARR, where the nurse would discuss the results of their assessment of the client, including vital signs.
Correct Answer is C
Explanation
A. Eggs: While eggs are a good source of protein and other nutrients, they are also high in cholesterol. Therefore, they should be consumed in moderation on a low-cholesterol diet.
B. Liver: Liver is high in cholesterol and should be limited on a low-cholesterol diet. While it is rich in iron and other nutrients, there are other sources of these nutrients that are lower in cholesterol.
C. Beans: This is correct. Beans are a great choice for a low-cholesterol diet. They are high in soluble fiber, which can help lower cholesterol levels. They are also a good source of protein and are low in fat.
D. Milk: While milk is a good source of calcium and other nutrients, it can also be high in cholesterol, especially if it’s whole or 2% milk. On a low-cholesterol diet, it’s better to choose low-fat or non-fat dairy products
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