A client with asthma is receiving metoprolol (Lopressor), a beta blocker for hypertension. The client asks if metoprolol will affect her asthma. What is the best response from the nurse?
a. "Metoprolol may cause bronchoconstriction, and is questionable if it will help decrease blood pressure."
b. "Metoprolol decreases pulse rate and thus blood pressure, but it should not have an effect on the bronchioles."
c. "Metoprolol causes bronchodilation and increased pulse rate, so refuse the drug."
d. "I'll inform the healthcare provider that you should not take metoprolol."
ANS: B
Metoprolol is formulated to not cause bronchial constriction. Most other beta blockers cause bronchoconstriction and are contraindicated with asthma.
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The nurse is performing the diagnostic positions test. Normal findings would be which of these results?
a. Convergence of the eyes b. Parallel movement of both eyes c. Nystagmus in extreme superior gaze d. Slight amount of lid lag when moving the eyes from a superior to an inferior position
4 g = __________ mg
Fill in the blank(s) with correct word
A client diagnosed with schizophrenia spectrum disorder is prescribed clozapine (Clozaril). Which client symptoms, related to the side effects of this medication, should prompt a nurse to intervene immediately?
1. Sore throat, fever, and malaise 2. Akathisia and hypersalivation 3. Akinesia and insomnia 4. Dry mouth and urinary retention
The unemployment rate has increased in the community. The population health nurse should:
1. Monitor whether more community members receive food assistance. 2. Monitor whether more community residents receive health services at the local health clinic. 3. Monitor for an increase in domestic violence and child abuse as frustrations rise over loss of income. 4. Monitor for an increase in liquor sales in the community.