A patient is prescribed metoprolol after myocardial infarction. Which assessment finding should cause the nurse to withhold the dose and notify the provider according to the prescription parameters?
Correct answer: A. Heart rate of 52 beats per minute with dizziness
- A. Heart rate of 52 beats per minute with dizziness
- B. Respiratory rate of 18 breaths per minute without distress
- C. Blood pressure of 138/82 mmHg with warm skin
- D. Apical pulse of 76 beats per minute with mild fatigue
Explanation
Metoprolol slows the heart rate and can worsen symptomatic bradycardia. A heart rate of 52 beats per minute with dizziness requires holding the dose according to ordered parameters and notifying the provider; the other findings do not indicate an immediate beta-blocker concern.
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About Cardiovascular Nursing
Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.
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