A nurse is preparing to administer the first 5 mg dose of metoprolol (Toprol) to a patient who is 12 hours post MI. For which assessment finding should the nurse withhold administration of the medication?

1. Serum potassium 3.9 mEq/L
2. Blood pressure of 110/65 mm Hg
3. PR interval 0.12 second
4. Sinus bradycardia 52 beats per minute


4
Rationale 1: The medication would not need to be withheld for this laboratory value.
Rationale 2: The medication can be given with this blood pressure.
Rationale 3: This medication can be given with this PR interval.
Rationale 4: Beta blocker therapy is contraindicated when the patient has a heart rate less than 60 beats per minute, systolic blood pressure less than 100 mm Hg, moderate or severe left ventricular failure, shock, PR interval on the electrocardiogram greater than 0.24 second, second- and third-degree heart block, and active asthma and/or reactive airway disease.

Nursing

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A) True B) False

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What would be the best action for the nurse to take as an advocate for the patient? a. Send the order to pharmacy so that the chemotherapy can be prepared. b. Call the attending physician and request a meeting so that there can be open com-munication between the physician, patient and family. c. Tell the patient that because the chemo-therapy has been ordered, it must be giv-en. d. Request a meeting with the attending phy-sician, patient, and family so the attending physician can convince the patient to re-ceive the chemotherapy.

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The caregiver of a child with juvenile rheumatoid arthritis (JRA) tells the nurse that NSAIDs have not been taken for several weeks because the child is not complaining of pain

Which should the nurse respond to the caregiver? A) "It sounds as though things are going well. Be sure to restart the medication as soon as there is any flare up of pain." B) "That is not what is best. The medications aren't for pain; she needs to take aspirin every few days." C) "Let's review some of the instructions. She does need to take an anti-inflammatory every day." D) "Pain medication should be taken before any form of exercise is done."

Nursing

When statement best answers a patient's request for an explanation of how homeopa-thy works?

a. "It cures by using tiny amounts of known poisons." b. "It purges foreign substances from the person's body." c. "It controls illness symptoms by using medication." d. "It uses substances to stimulate the body to heal itself."

Nursing