Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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A patient is receiving digoxin (Lanoxin) 0.25 mg daily for treatment of cardiac failure. The health care provider has written a new order to give metoprolol 25 mg. B.I.D. Before administering these medications, nurse is supposed to assess and keep the healthcare provider informed. Which of the following statistics is most important for the nurse to report to the healthcare provider?
  1. Blood pressure 90/60
  2. Heart rate 70 per minute
  3. Urine output 50 ml/hour
  4. Respiratory rate 15 breaths per minute
Explanation
Answer- A - A blood pressure of 90 over 60 should be reported immediately to the health care provider. Both digoxin and metoprolol decrease the heart rate and metoprolol affects blood pressure. Therefore, the heart rate and blood pressure must be within normal range. Heart rate should be in range of 60-100 per minute and systolic BP > 100 in order to safely administer both the medications together.
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