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A nurse is preparing to administer metoprolol to a client. Which of the following vital signs should the nurse assess before administration?

Respiratory rate

Temperature

Oxygen saturation

Heart rate

Answer and Explanation

The Correct Answer is D

A. Respiratory rate is not the primary vital sign to assess before administering metoprolol.

B. Temperature is not directly affected by metoprolol and should not be assessed solely for this purpose.

C. Oxygen saturation is not a vital sign directly impacted by metoprolol.

D. Heart rate should be assessed before metoprolol, a beta-blocker, because it can lower heart rate. If the heart rate is below the target range, the medication should be withheld.

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Correct Answer is D

Explanation

A. Simvastatin should be taken at bedtime, which is correct because the drug works best when cholesterol production is highest at night.

B. Acetaminophen is appropriate for treating fever as needed, with correct dosage and frequency.

C. Morphine administration is appropriate for managing pain in appropriate doses and timing.

D. Levothyroxine should be taken on an empty stomach, usually 30–60 minutes before breakfast. Therefore, taking it in the morning might require clarification if it’s not on an empty stomach.

A. Provide a long-acting NSAID. B. Apply heat to the patch. C. Replace the patch with a new one. D. Administer a short-acting opioid.

Correct Answer is D

Explanation

A. A long-acting NSAID is not appropriate for breakthrough pain when a fentanyl patch is already in use, as it is not fast-acting enough.

B. Applying heat to the patch can increase the absorption of fentanyl, which could cause an overdose.

C. The fentanyl patch is a long-acting opioid, and a new patch should not be applied for breakthrough pain so soon.

D. A short-acting opioid is appropriate for treating breakthrough pain, as it provides rapid relief.

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A nurse is preparing to administer metoprolol to a client. Which of the following vital signs should the nurse assess before administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing medication prescriptions for a client. For which of the following entries on the client's medication administration record should the nurse request clarification?

Correct Answer is D

Explanation

A nurse is caring for a client who has a prescription for a fentanyl transdermal patch and had one patch applied 4 hr ago. The client reports breakthrough pain. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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