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The registered nurse reviewed the patient's q4h vital signs recorded by the LPN. He noticed a consistent pattern of heart rate recordings between 48 and 58 bpm over a 24-hour period of time. The nurse, aware that bradycardia can be a side-effect of medications, checked the patient's electronic health record. Select the medication that might cause bradycardia.

1) Aminophylline
2) Atropine
3) Tenormin
4) Epinephrine

1 Answer

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Final Answer:

The medication that might cause bradycardia in the patient is Tenormin. Thus the correct option is (3).

Step-by-step explanation:

The nurse identified Tenormin as a potential cause of bradycardia based on the observed heart rate pattern and the knowledge of medications' side effects. Tenormin, also known as Atenolol, is a beta-blocker commonly prescribed for conditions such as hypertension. Beta-blockers work by blocking the effects of adrenaline, leading to a reduction in heart rate and blood pressure. The nurse's suspicion is supported by the fact that bradycardia is a recognized side effect of beta-blockers, including Tenormin.Thus the correct option is (3).

In this case, the patient's heart rate consistently falls within the range of 48 to 58 bpm, which aligns with the known bradycardic effects of beta-blockers. The nurse's decision to check the electronic health record demonstrates a thorough and systematic approach to investigating potential causes. By correlating the observed symptoms with the patient's medication history, the nurse can make informed decisions about the appropriate course of action, such as consulting with the healthcare provider to discuss potential medication adjustments or alternatives.

It's crucial for healthcare professionals to be vigilant in monitoring and assessing patients for adverse effects of medications, especially when a consistent pattern such as bradycardia emerges. The nurse's attention to detail and prompt investigation exemplify the importance of proactive patient care and highlight the role of medication management in maintaining patient well-being.

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