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Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol?.

Patient reports feeling anxious.

Blood pressure is 90/54 mm Hg.

Heart monitor shows normal sinus rhythm.

Patient is restless and agitated.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is B

Explanation

Choice A rationale:

While bilateral crackles at the lung bases indicate fluid accumulation, a common symptom of dilated cardiomyopathy, it’s not as immediately life-threatening as some other conditions.

Choice B rationale:

Acute aortic regurgitation can lead to a rapid and severe drop in blood pressure, which is a medical emergency. Therefore, this patient should be assessed first.

Choice C rationale:

While a murmur and splinter hemorrhages are symptoms of infective endocarditis, they are not as immediately life-threatening as acute aortic regurgitation.

Choice D rationale:

Sharp chest pain with a deep breath could be a symptom of rheumatic fever, but it’s not as immediately life-threatening as acute aortic regurgitation.

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

A. Fasting triglyceride: 167 mg/dL. B. HDL: 96 mg/dL. C. LDL: 104 mg/dL. D. Total serum cholesterol: 192 mg/dL.

Correct Answer is A

Explanation

Choice A rationale:

A fasting triglyceride level of 167 mg/dL is above the desirable level of less than 150 mg/dL, indicating a higher risk for CAD34.

Choice B rationale:

An HDL level of 96 mg/dL is considered good and is protective against CAD34.

Choice C rationale:

An LDL level of 104 mg/dL is near optimal/above optimal, but it’s not high enough to be a priority risk factor for CAD34.

Choice D rationale:

Total serum cholesterol of 192 mg/dL is within the desirable range of less than 200 mg/dL34.

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

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Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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