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18ryanmandich 18ryanmandich
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6 years ago
A patient with stable exertional angina has been receiving a beta blocker. Before giving the drug, the nurse notes a resting heart rate of 55 beats per minute. Which is an appropriate nursing action?
 
  a. Administer the drug as ordered, because this is a desired effect.
  b. Withhold the dose and notify the provider of the heart rate.
  c. Request an order for a lower dose of the medication.
  d. Request an order to change to another antianginal medication.
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wrote...
6 years ago
ANS: A
When beta blockers are used for anginal pain, the dosing goal is to reduce the resting heart rate to 50 to 60 beats per minute. Because this heart rate is a desired effect, there is no need to withhold the dose or notify the provider. The dosage does not need to be lowered, because a heart rate of 55 beats per minute is a desired effect. There is no indication of a need to change medications for this patient.
18ryanmandich Author
wrote...
6 years ago
NICEEE!
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