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
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.
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