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Practice Question

A nurse is caring for a client with asthma who is prescribed metoprolol. The nurse should monitor the client for which of the following?

Answer Choices:

Correct Answer:

Wheezing

Rationale:

💁‍♂️Metoprolol, although β1-selective, can still precipitate bronchoconstriction at higher doses or in sensitive airways, making wheezing the key finding to monitor.

⚠️The presence of wheezing signals airflow limitation from bronchospasm, which represents a clinically significant respiratory adverse effect.

🩺Monitoring for wheezing emphasizes respiratory assessment priorities when β-blockers are used in asthma, a known high-risk scenario.

💡Because selectivity is dose-dependent, even cardioselective agents can impair β2-mediated bronchodilation, heightening the risk of bronchospasm.


📌Core Message

In clients with asthma receiving metoprolol, vigilant assessment for wheezing is crucial because β1-selectivity is imperfect and can still trigger bronchoconstriction.

Want to practice more questions like this?

This question is from ATI RN Pharmacology 2024 Exam-2 which contains 49 questions.

More Questions from This Exam
Which of the following are the five main rights of medication administration? (Select all that apply.)

Answer Choices:

A. Right route
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The nurse is preparing to administer Reglan to a patient. She is most concerned by the following information in the patient’s medical record?

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From Exam
ATI RN Pharmacology 2024 Exam-2

49 Questions

View Full Exam
Question Details
  • Category: RN Nursing Exams
  • Subcategory: ATI Exams (RN)
  • Domain: PHARMACOLOGY (RN ati)
  • Answer Choices: 4
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