The nurse is administering a thrombolytic agent to a patient having an acute myocardial infarction. Which patient data indicates that the nurse should stop the drug infusion?.

A brief episode of ventricular tachycardia.

Bleeding from the gums.

Decreased level of consciousness.

An increase in blood pressure.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A brief episode of ventricular tachycardia, or a rapid heart rate, can occur in patients receiving thrombolytic therapy. However, it is not typically a reason to stop the drug infusion.

Choice B rationale:

Bleeding from the gums can be a sign of excessive bleeding, which is a major risk of thrombolytic therapy. This would be a reason to stop the drug infusion.

Choice C rationale:

A decreased level of consciousness can have many causes and is not specifically associated with thrombolytic therapy.

Choice D rationale:

An increase in blood pressure is not typically a reason to stop thrombolytic therapy.

So, the correct answer is B, after analyzing all choices.

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Correct Answer is B

Explanation

Choice A rationale:

Feeling anxious is not a common side effect of metoprolol.

Choice B rationale:

Metoprolol is a beta-blocker that can lower blood pressure, so a blood pressure of 90/54 mm Hg could indicate a side effect of this medication.

Choice C rationale:

A normal sinus rhythm is expected and does not indicate a side effect of metoprolol.

Choice D rationale:

Restlessness and agitation are not typical side effects of metoprolol.

So, the correct answer is B, after analyzing all choices.

A. Heart rate increases from 66 to 98 beats/min. B. O2 saturation drops from 99% to 95%. C. Respiratory rate goes from 14 to 20 breaths/min. D. Blood pressure (BP) changes from 118/60 to 126/68 mm Hg. E. Blood pressure (BP) changes from 118/60 to 126/68 mm Hg.

Correct Answer is A

Explanation

Choice A rationale:

An increase in heart rate from 66 to 98 beats/min indicates that the heart is working harder, which could be a sign of stress or exertion. This is a significant increase and could indicate that the patient needs to rest.

Choice B rationale:

While a drop in O2 saturation from 99% to 95% is noticeable, it is still within the normal range (95-100%). Therefore, it would not necessarily indicate a need for the patient to rest.

Choice C rationale:

A respiratory rate increase from 14 to 20 breaths/min is within the normal range (12-20 breaths/min) and would not necessarily indicate a need for the patient to rest.

Choice D rationale:

A blood pressure change from 118/60 to 126/68 mm Hg is within the normal range and would not necessarily indicate a need for the patient to rest.

So, the correct answer is Choice A, after analyzing all choices.

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The nurse is administering a thrombolytic agent to a patient having an acute myocardial infarction. Which patient data indicates that the nurse should stop the drug infusion?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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