Prior to administering a newly prescribed order for metoprolol (Toprol), the nurse reviews the client's medications and decides to question the order for which reason?
Standard Text: Select all that apply.
1. The client is also prescribed a calcium channel blocker.
2. The client is already taking an antihypertensive medication.
3. The client is using cimetidine.
4. The client is taking oral contraceptives.
5. The client is taking aspirin.
Correct Answer: 1,2,3,4
Rationale 1: Concurrent use of a beta1 blocker with a calcium channel blocker can cause bradycardia or heart block.
Rationale 2: Concurrent use of a beta1 blocker with an antihypertensive can cause additive hypotension.
Rationale 3: Concurrent use of a beta1 blocker with cimetidine can cause additive hypotension.
Rationale 4: Concurrent use of a beta1 blocker with oral contraceptives can cause additive hypotension.
Rationale 5: The use of aspirin is not contraindicated in the use of a beta1 blocker.
Global Rationale: Concurrent use of a beta1 blocker with a calcium channel blocker can cause bradycardia or heart block. Concurrent use of a beta1 blocker with an antihypertensive, cimetidine, or an oral contraceptive can cause additive hypotension. The use of aspirin is not contraindicated in the use of a beta1 blocker.
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The nurse arrives at the bedside of a patient who has had a unit of packed cells infusing in his right arm for 35 minutes. He is complaining of chills, itching, and shortness of breath. What should be the nurse's initial action?
a. Cover with a warm blanket b. Take the patient's temperature c. Elevate the head of the bed d. Stop the transfusion and continue with saline
A patient's family member tells the nurse that she is afraid of hurting the patient when giving the eardrops since she hasn't seen it done. Which action should the nurse take first?
a. Observe caregiver administration of ear-drops. b. Provide a demonstration of eardrop instil-lation. c. State that eardrop instillations do not in-jure ears. d. Agree that instillation of eardrops is chal-lenging.
The home care nurse is visiting an adult client who has two young children under the age of 4 . What strategy can the nurse teach the client to best protect the children from hazards in their home?
a. Get a medication container cap used by individuals with arthritis to secure the medication bottle. b. Get down on the floor to look at the envi-ronment from the children's view to iden-tify dangers present in the home. c. Place safety plugs in the electrical outlets throughout the house. d. Using a night light in the children's bath-room.