The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?
Oxygen saturation 95%
Respirations 12 breaths per minute
Blood pressure 134/72
Pulse 52 beats per minute
The Correct Answer is D
A. Oxygen saturation within the normal range does not indicate a need to question administering atenolol.
B. Respiratory rate within the normal range does not indicate a need to question administering atenolol.
C. Blood pressure within the normal range does not indicate a need to question administering atenolol.
D. Atenolol is a beta blocker, which can lower heart rate. A pulse of 52 beats per minute may be too low, especially if the client is experiencing angina, and the nurse should assess further before administering the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation:
A. A blood pressure of 130/80 is within the target range (below 140/90 for most individuals) and does not require immediate follow-up.
B. Knee pain, while important, is not an immediate priority compared to potential medication side effects or complications.
C. Hypoactive bowel sounds, while needing monitoring, are not typically a priority over potential adverse effects of medication.
D. Complaints of muscle weakness could indicate a potential side effect of atorvastatin (Lipitor), which should be promptly addressed to prevent complications such as rhabdomyolysis. Therefore, it is the priority assessment finding for the nurse to follow-up.
Correct Answer is A
Explanation
A. Weight loss is a common side effect of methylphenidate (Ritalin) and should be monitored during treatment.
B. Methylphenidate is not typically associated with renal toxicity.
C. Methylphenidate can cause increases in blood pressure and heart rate, not hypotension.
D. Extreme euphoria and insomnia may indicate overstimulation or inappropriate dosing but are not typical side effects of methylphenidate.
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