A client with type 1 diabetes is taking propranolol [Inderal], acting confused, and reports weakness and feeling shaky. What must the nurse check first?

Renal function tests

Capillary blood glucose level

Blood pressure

Serum electrolyte levels

Answer and Explanation

The Correct Answer is B

A. Renal function tests are important for overall health but are not the priority in this scenario.
B. Propranolol can mask the symptoms of hypoglycemia, which is a common complication in clients with type 1 diabetes. The nurse should first check the client's blood glucose level to assess for hypoglycemia.
C. While blood pressure is important, the symptoms described are more indicative of hypoglycemia.
D. Serum electrolyte levels might be relevant but are not the immediate concern with the described symptoms.

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Correct Answer is C

Explanation

A. Blood pressure improvement is not the primary goal for nitroglycerin patches, which are more focused on managing angina.
B. While the medication is effective in reducing angina, complete elimination of anginal attacks is not always expected.
C. Effective management of angina would be indicated by the client’s ability to tolerate exercise without pain.
D. Headaches are a common side effect of nitroglycerin and do not necessarily indicate the effectiveness of the medication in managing angina.

A. White blood cell count B. Potassium level C. BUN/Creatinine D. Sodium level

Correct Answer is A

Explanation

A. Clozapine requires regular monitoring of the white blood cell count due to the risk of agranulocytosis, a potentially serious side effect.
B. While potassium levels are important, they are not the primary concern with clozapine administration.
C. BUN/Creatinine levels are monitored for kidney function but are not specific to clozapine.
D. Sodium levels are not the primary concern with clozapine administration.

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A client with type 1 diabetes is taking propranolol [Inderal], acting confused, and reports weakness and feeling shaky. What must the nurse check first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the therapeutic effects of nitroglycerin transdermal patches prescribed to a client 6 months ago. Which of the following statements by the client would indicate that the medication is effective?

Correct Answer is C

Explanation

The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?

Correct Answer is A

Explanation

The nurse is assessing therapeutic blood levels for a client receiving lithium (Lithobid). The nurse should recognize which of the following levels as toxic for this drug?

The nurse is preparing to administer the client's daily digoxin with furosemide. The nurse should closely monitor laboratory values for which of the following?

A client has been prescribed zolpidem (Ambien) for insomnia. The client's spouse reports that the patient drives at night but does not remember it in the morning. Which of the following explains this behavior?

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A client has been diagnosed with a life-threatening recurrent ventricular fibrillation that has not responded to other medications or defibrillation. Which of the following does the nurse anticipate will be prescribed next?

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