The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?
1. Respirations 12 breaths per minute
2. Pulse 52 beats per minute
3. Blood pressure 134/72
4. Oxygen saturation 95%
2
Rationale 1: Respirations 12 breaths per minute is within normal limits.
Rationale 2: Heart rate should be closely monitored so that it does not fall below 50–60 beats/minute at rest or 100 beats/minute during exercise.
Rationale 3: Blood pressure 134/72 is within normal limits.
Rationale 4: Oxygen saturation 95% is within normal limits.
Global Rationale: Atenolol (Tenormin) is a cardioselective beta1-blocker used for dysrhythmias, MI, and HTN. Heart rate should be closely monitored so that it does not fall below 60 beats per minute at rest or 100 beats per minute during exercise.
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