2024 PN NCLEX Questions Nursing Practice Question
The LPN is about to give 100 mg Lopressor (metoprolol) to a client. Before administering the drug, they take the patient's vitals, which are as follows:
Pulse: 58
Blood Pressure: 90/62
Respirations: 18/minute
What action should the LPN take?
Correct Answer: D
Rationale: Administering Lopressor (metoprolol) to a patient with a pulse of 58 and blood pressure of 90/62 poses significant risks, as these values indicate bradycardia and hypotension. Holding the medication ensures patient safety, allowing for further assessment by the RN.
Option A suggests giving half the dose, which still risks adverse effects in a patient with low vitals. Option B, advocating for double the dose, is inappropriate and dangerous. Option C disregards the concerning vital signs, potentially leading to severe complications. Prioritizing patient safety is paramount in medication administration.