A client is being discharged with a new prescription for propranolol [Inderal LA]. Which of the following must be included in discharge instructions?

Medications can elevate potassium levels, avoid salt supplements.

Notify the provider with yellow or blurred vision.

Medication cannot be stopped abruptly.

Avoid grapefruit juice.

Answer and Explanation

The Correct Answer is C

A. Propranolol does not typically elevate potassium levels, and salt supplements are not contraindicated.
B. Yellow or blurred vision is not commonly associated with propranolol use but with digoxin toxicity.
C. Abrupt discontinuation of propranolol can lead to rebound hypertension, tachycardia, or exacerbation of angina, so it should be tapered off under medical supervision.
D. Grapefruit juice does not significantly interact with propranolol.

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Correct Answer is A

Explanation

A. Muscle spasms, especially in the face and neck, can be a sign of tardive dyskinesia or acute dystonia, which are serious side effects of chlorpromazine (an antipsychotic). It is important to notify the physician for further evaluation and potential treatment adjustments.
B. Addiction is not a common issue with chlorpromazine; muscle spasms are more likely to be side effects rather than signs of addiction.
C. Muscle spasms are not part of the schizophrenia disease process but are rather side effects of the medication.
D. These symptoms are not considered normal and require medical assessment. They may not resolve on their own and could need intervention.

A. Deep Vein Thrombosis (DVT) B. Bleeding disorder C. Heart Rate of 60 D. Pulmonary Embolism (PE)

Correct Answer is B

Explanation

A. Enoxaparin is often used to treat or prevent DVT, so this would not prevent administration.
B. A bleeding disorder is a contraindication for enoxaparin due to the increased risk of hemorrhage.
C. A heart rate of 60 is within normal limits and does not contraindicate enoxaparin use.
D. Enoxaparin is used to treat and prevent PE, so this condition would not prevent its administration.

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A client is being discharged with a new prescription for propranolol [Inderal LA]. Which of the following must be included in discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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