When preparing to administer Metoprolol, the nurse takes the apical pulse. The client's pulse is 48 bpm. What is the priority action for the nurse to take?
Cardiac Meds Quiz

Quiz
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Health Sciences
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University
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Easy
Evan Best
Used 3+ times
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31 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Answer explanation
Davis Drug Guide says to hold the metoprolol if the pulse is <50 bpm and to notify the HCP
The textbook says an apical pulse <60 bpm should be when the med should be held. I went with the drug guide, but answer the real exam at your own risk
2.
MULTIPLE SELECT QUESTION
45 sec • 1 pt
The nurse knows that medications like metoprolol and propranolol are beta-blockers and are used to?
Select all that apply
Increase heart rate and blood pressure
Decrease the frequency of chest pain (angina)
Prevent MI and Ventricular Arrythmias
Decrease heart rate and blood pressure
Treat HTN, and Anxiety
3.
MULTIPLE SELECT QUESTION
45 sec • 1 pt
When administering a beta-blocker the nurse should educate the patient to?
Select all that apply
Stop taking the medication if feeling dizzy to prevent fall injuries
Take the medication only when symptoms occur to prevent toxicity
Not stop abruptly to avoid rebound HTN, angina, arrythmias
Change positions slowly to prevent orthostatic hypotension
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
The nurse is preparing to give propranolol to a 45 y/o female client in for treatment of her HTN. She has a PMH: of diabetes, COPD, and HTN. What is the appropriate action?
Hold the medication and notify the HCP
Check her home meds to see if they also cause a decrease in HR before giving
Assess her BG level before giving
Answer explanation
Beta-blockers are contraindicated in people with COPD because it can cause bronchospasms
5.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
The nurse walks into a room of a female client receiving warfarin and notices the client looks pale and tired. On further inspection the client's IV site has a thin stream of blood leaking from it. The client's morning labs show: Hgb 10, Hct 30, RBC 3.7. What will the nurse expect to administer?
Warfarin
Protamine sulfate
Vitamin K
Andexanet Alfa
Answer explanation
She has been given too much warfarin and is suffering from a bleed. She will receive the antidote, vitamin K.
I do not know if the labs on here are accurate for a bleed/hemorrhage caused by warfarin. But I just threw some together for the scenario.
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
The nurse is preparing a client's 0800 meds. The client is taking warfarin and has an INR level of 4.6. What is the priority action?
Hold the warfarin and notify the HCP
7.
MULTIPLE SELECT QUESTION
1 min • 1 pt
A client is receiving bumetanide (Bumex) and asks the nurse to clarify the teaching the RN had given. The nurse should provide what educations?
Select all that apply
Take med earlier in the day, and avoid administering at night
Take w/ food or milk
Wear protective clothing and sunscreen when outside
Get your potassium level checked while on bumex
You should not take if you are allergic to sulfonamides
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