Which of these findings would cause the nurse to hold the administration of oral metoprolol 25 mg?

Blood pressure of 92/44 mmHg

Respiratory rate of 26 breaths per minute

Heart rate of 92 beats per minute

Oxygen saturation level of 95% on room air

Answer and Explanation

The Correct Answer is A

A) The nurse should hold the administration of oral metoprolol 25 mg if the blood pressure of the patient is 92/44 mmHg, as this indicates hypotension, which can be worsened by the beta blocker effect of metoprolol.

B) A respiratory rate of 26 breaths per minute is within the acceptable range for administering metoprolol.

C) A heart rate of 92 beats per minute is within the acceptable range for administering metoprolol.

D) Holding the administration of metoprolol may be appropriate if the oxygen saturation level is low. Metoprolol is primarily used for heart rate and blood pressure control and may not be the immediate concern in a client with low oxygen saturation. The healthcare provider should be consulted for further guidance.

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Correct Answer is ["A","C","D"]

Explanation

a. This statement warrants further education because enteric-coated aspirin is specifically designed to be absorbed in the small intestine and should not be chewed. Chewing the enteric coated aspirin can interfere with its protective coating and may lead to stomach irritation.

b. This statement is correct. Taking the aspirin with food can help minimize stomach irritation.

c. This statement warrants further education. Aspirin, even in low doses, should not be given to young children without consulting a healthcare provider due to the risk of Reye's syndrome.

d. This statement warrants further education. Ringing in the ears (tinnitus) is not a normal side effect of aspirin, and persistent symptoms should be reported to the healthcare provider.

e. This statement is correct. Black, tarry stools can indicate gastrointestinal bleeding, and the healthcare provider should be notified promptly.

A. Encourage oral fluid intake during the infusion and for 2 hours after the infusion. B. Monitor urinary output every 30 minutes. C. Provide a low-protein diet for one day before and two days after the acyclovir infusion. D. Administer intravenous normal saline boluses, as ordered.

Correct Answer is A

Explanation

a. This is the correct answer because maintaining adequate hydration helps prevent nephrotoxicity associated with acyclovir. Encouraging fluid intake during and after the infusion helps flush the drug through the kidneys.

b. While monitoring urinary output is important, it alone may not be sufficient to prevent nephrotoxicity.

c. Providing a low-protein diet is not a standard intervention for preventing acyclovir-induced nephrotoxicity.

d. Administering intravenous normal saline boluses, as ordered, can help maintain hydration and prevent nephrotoxicity. However, encouraging oral fluid intake is a more direct and immediate measure during acyclovir infusion.

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Which of these findings would cause the nurse to hold the administration of oral metoprolol 25 mg?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed 81 mg of enteric coated aspirin every morning. Which of these statements by the client warrants further education?

Correct Answer is ["A","C","D"]

Explanation

The nurse is caring for a client who has an order for no food or drink by mouth and is receiving intravenous acyclovir. To prevent nephrotoxicity, what is the nurse's action?

Correct Answer is A

Explanation

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