The physician orders metoprolol (Toprol-XL) for several patients. The nurse will hold the medication and contact the physician for 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
Correct Answer: 3
Rationale: Beta-blockers are contraindicated for patients with chronic bronchitis. 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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