The physician ordered a beta blocker for a client. The nurse ...

[vHAUNG6011]

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]

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.

[vHAUNG6011]

Excellent

[aliotak]

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