A patient has called the nurse to help them ambulate to the bathroom. The nurse assists the patient to a dangling position on the bed and applied the gait belt. Upon standing, the patient reports that they are feeling very dizzy. What is the next best action by the nurse?

Call for assistance.

Assist the patient in sitting down on the bed.

Assess the vital signs for orthostatic hypotension.

Notify the provider

Answer and Explanation

The Correct Answer is B

A. Call for assistance. While calling for help may be necessary if the patient becomes unresponsive or falls, the priority action is to ensure their safety immediately by helping them sit down.

B. Assist the patient in sitting down on the bed. The patient is experiencing dizziness upon standing, which could indicate orthostatic hypotension or another condition. The best immediate action is to help them sit down to prevent a fall or further complications.

C. Assess the vital signs for orthostatic hypotension. While assessing for orthostatic hypotension is important, it should be done after ensuring the patient is safe by sitting them down.

D. Notify the provider. The provider may need to be informed if the dizziness persists or if there is an underlying medical issue. Still, immediate intervention (sitting the patient down) takes priority before notifying the provider.

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Correct Answer is C

Explanation

A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.

B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).

C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.

D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.

A. 0.5 B. 2 C. 1 D. 5

Correct Answer is A

Explanation

The prescribed dose is 25 mg, and the available tablet strength is 50 mg. To calculate the correct dose:

25 mg ÷ 50 mg= 0.5

Answer: 0.5 tablets

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A patient has called the nurse to help them ambulate to the bathroom. The nurse assists the patient to a dangling position on the bed and applied the gait belt. Upon standing, the patient reports that they are feeling very dizzy. What is the next best action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Order: Metoprolol Tartrate 25 mg PO each morning Available: Metoprolol Tartrate 50 mg tablets How many tablets will you administer per dose?

Correct Answer is A

Explanation

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