Question

9. It is a nursing priority to report which of these test results, if identified in a client who is prescribed metoprolol (Lopressor), to the prescriber? Provide detailed rationale for your answer and the incorrect choices. a. Creatinine 1.2 mg/dL b. Ejection fraction on echocardiogram of 20% C. Hemoglobin A1c 5.5% d. Sinus rhythm on the bedside EKG

Answer 1

Option B is correct as the test result i.e. “ejection fraction on the echocardiogram of 20% “ this event will be the nursing priority to be instantly reported in the patient who is on the metoprolol (lopressor) therapy, because it is evident by the reported clinical trials that the beta blockers have the long term mortality due to reduction of the ejection fraction in the heart leading to the chronic heart failure.