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Author Question: Oral atenolol has been ordered for a resident of a long-term care facility who has a diagnosis of ... (Read 109 times)

Metfan725

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on: Jul 23, 2018
Oral atenolol has been ordered for a resident of a long-term care facility who has a diagnosis of angina. Which of the following assessment findings would prompt the nurse to withhold a scheduled dose of the drug? Select all that apply.
 
  A) Heart rate of 68 beats per minute
  B) Blood pressure of 88/49 mm Hg
  C) Heart rate of 58 beats per minute
  D) Blood pressure of 141/92 mm Hg
  E) Oxygen saturation of 90 on room air

Question 2

A patient has been diagnosed with cytomegalovirus (CMV). Which of the following drugs would be ineffective in the treatment of this disease?
 
  A) Ribavirin (Rebetol)
  B) Ganciclovir (Cytovene) IV
  C) Foscarnet (Foscavir) IV
  D) Valganciclovir hydrochloride (Valcyte)


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Zebsrer

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B, C
Feedback:
It is important to withhold atenolol and notify the prescriber for a resting heart rate of 60 beats per minute and/or systolic blood pressure less than 90 mm Hg. Low SaO2 does not require withholding atenolol.

Answer to Question 2

A
Feedback:
Ribavirin is administered to treat respiratory syncytial virus. Ganciclovir, foscarnet, and valganciclovir are used in the treatment of CMV.


Metfan725

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Zebsrer

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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