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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lithium is a mood stabilizer commonly used to treat acute mania and stabilize mood in bipolar disorder.
B. Diazepam (Valium) is a benzodiazepine used for anxiety, not for acute mania.
C. Bupropion (Wellbutrin) is an antidepressant that is not typically used for treating mania.
D. Paroxetine (Paxil) is an antidepressant, and while it may be used for depression, it is not indicated for treating acute mania.
Correct Answer is D
Explanation
A. Morphine is used for pain relief and to reduce stress on the heart during an acute myocardial infarction but is not continued indefinitely.
B. Heparin is an anticoagulant used during an acute myocardial infarction but is not used long-term; it is typically administered during hospitalization.
C. Streptokinase is a thrombolytic agent used to dissolve clots during an acute myocardial infarction but is not continued after the initial treatment.
D. Aspirin is an antiplatelet medication that helps prevent clot formation and is continued indefinitely after an acute myocardial infarction to reduce the risk of future events.
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