The physician order reads Lopressor (metoprolol) 50 mg PO daily. ...

[bcretired]

The physician order reads Lopressor (metoprolol) 50 mg PO daily. Do not give if blood pressure is less than 100 mm Hg systolic. The patient's blood pressure is 92/66 . The nurse does not give the medication and
 
  a. Does not tell the patient what the blood pressure is.
  b. Documents only what the blood pressure was.
  c. Documents that the medication was not given owing to low blood pressure.
  d. Does not need to inform the health care provider that the medication was held.

Question 2

Which of the following sites does the nurse know is appropriate for taking a pulse on 2-year-old child?
 
  a. Radial
  b. Apical
  c. Femoral
  d. Pedal

[amit]

Answer to Question 1

C
The nurse must document any interventions initiated as a result of vital sign measurement such as holding an antihypertensive drug. The nurse should inform the patient of the blood pressure value and the need for periodic reassessment of the blood pressure. Documenting the blood pressure only is not sufficient. Any intervention must be documented as well. Abnormal findings must be reported to the nurse in charge or to the health care provider.

Answer to Question 2

B
The brachial or apical pulse is the best site for assessing an infant's or young child's pulse because other peripheral pulses are deep and difficult to palpate accurately.
The radial pulse is not the best site for assessing a 2-year-old's pulse.
The femoral pulse is not the best site for assessing a 2-year-old's pulse.
The pedal pulse is not the best site for assessing a 2-year-old's pulse.

[bcretired]

TYSM

[ebonylittles]

Excellent