Author Question: The physician ordered a beta blocker for a client. The nurse checks vital signs for this client. ... (Read 47 times)

vHAUNG6011 · **on:** Jul 24, 2018

The physician ordered a beta blocker for a client. The nurse checks vital signs for this client. Which vital sign would cause the nurse to question administering the medication?

1. Temperature 99.4F
2. Blood pressure 148/62
3. Respirations 18 breaths per minute
4. Pulse 48 beats per minute

Question 2

A client is prescribed multiple medications for hypertension. The client asks the nurse which of the medications prescribed is a loop diuretic. Which response by the nurse is appropriate?

1. Ramipril (Altace)
2. Furosemide (Lasix)
3. Metoprolol (Lopressor)
4. Amlodipine (Norvasc)

strudel15 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 4

Rationale 1: Beta blockers do not affect temperature.
Rationale 2: Beta blockers will lower BP.
Rationale 3: This is a normal finding.
Rationale 4: Pulse at 48 beats per minute could be slowed more with the administration of a beta blocker.

Global Rationale: Pulse at 48 beats per minute could be slowed more with the administration of a beta blocker. Beta blockers do not affect temperature. Beta blockers will lower BP. A respiratory rate of 18 breaths per minute is a normal finding.

Answer to Question 2

Correct Answer: 2

Rationale 1: Ramipril (Altace) is incorrect because this medication is an ACE inhibitor.
Rationale 2: Metoprolol (Lopressor) is incorrect because this medication is a beta blocker.
Rationale 3: Metoprolol (Lopressor) is incorrect because this medication is a beta blocker.
Rationale 4: Amlodipine (Norvasc) is incorrect because this medication is a calcium channel blocker.

Global Rationale: Metoprolol (Lopressor) is incorrect because this medication is a beta blocker. Ramipril (Altace) is incorrect because this medication is an ACE inhibitor. Metoprolol (Lopressor) is incorrect because this medication is a beta blocker. Amlodipine (Norvasc) is incorrect because this medication is a calcium channel blocker.