During change-of-shift report, the nurse obtains this information about a client who is hypertensive and received the first dose of propranolol during the previous shift. Which of the following information indicates that the client needs immediate intervention?

Question

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The most urgent concern for this client is the wheezes, which indicate that bronchospasm (a common adverse effect of the noncardioselective ?-adrenergic 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 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 This Information About a Client