The physician orders metoprolol (Toprol-XL) for several patients. The nurse will most closely monitor the effects of this drug on which patient?
1. The patient with an apical pulse rate of 100
2. The patient with compensated heart failure
3. The patient with chronic bronchitis
4. The patient with a history of migraines
3
Rationale 1: Beta-blockers may be used for patients with apical pulse rates of 100.
Rationale 2: Beta-blockers may be used for patients with compensated heart failure.
Rationale 3: Metoprolol (Toprol XL) is selective for blocking beta1 receptors in the heart, so adverse effects on the lungs are not as likely as with other nonselective beta blockers. The nurse should still be aware of and monitor for these effects.
Rationale 4: Beta-blockers may be used for patients with migraines.
Global Rationale: Metoprolol (Toprol XL) is selective for blocking beta1 receptors in the heart, so adverse effects on the lungs are not as likely as with other nonselective beta blockers. The nurse should still be aware of and monitor for these effects. Beta-blockers may be used for patients with migraines. Beta-blockers may be used for patients with compensated heart failure. Beta-blockers may be used for patients with apical pulse rates of 100.
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