During change-of-shift report, the nurse obtains all of this information about a hypertensive patient who received the first dose of nadolol (Corgard) during the previous shift. The information that will be of most concern to the nurse is that

Question

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The most urgent concern for this patient is the wheezes, which indicate that bronchospasm (a common adverse effect of the noncardioselective b-blockers) is occurring. The nurse should immediately obtain an oxygen saturation measurement, apply supplemental oxygen, and notify the health care provider. The mild decrease in heart rate and complaint of cold fingers and toes are associated with the b-receptor blockage caused by the nadolol but do not require any change in therapy. The BP reading may indicate that a change in medication type or dose may be indicated; however, this is not as urgently needed as addressing the bronchospasm.

During Change-Of-Shift Report, the Nurse Obtains All of This Information