A client is receiving digoxin (Lanoxin) 0.25 mg daily. The health care provider has written a new order to give metoprolol (Lopressor) 25 mg B.I.D. In assessing the client prior to administering the medications, which of the following should the nurse report immediately to the health care provider?
A. Blood pressure 94/60 mm Hg
B. Heart rate 76 bpm
C. Urine output 50 ml/hour
D. Respiratory rate 16 bpm
Correct Answer: A. Blood pressure 94/60 mm Hg
Both medications decrease the heart rate. Metoprolol affects blood pressure. Therefore, the heart rate and blood pressure must be within the normal range (HR 60-100; systolic BP over 100) in order to safely administer both medications.
Option B: A heart rate of 76 is within the normal range.
Option C: Increase in urine output is the desired effect of diuretics, which is given with digoxin.
Option D: A respiratory rate of 16 is within the normal range.