A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?

The beta-blocker can mask the symptoms of hypoglycemia.

Using the two agents together increases the risk of ketoacidosis.

Propranolol increases insulin requirements because of receptor blocking.

The beta-blocker can cause insulin resistance.

Answer and Explanation

The Correct Answer is B

A) While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.

B) Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.

C) Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.

D) Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.

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Correct Answer is A

Explanation

a) Theophylline, a bronchodilator, can cause central nervous system stimulation, leading to side effects such as insomnia, nervousness, and drowsiness.

b) Constipation is not a common adverse effect of theophylline.

c) Oliguria is not a typical side effect of theophylline.

d) Tachycardia is more commonly associated with theophylline toxicity. While it can be a side effect, it is not the most prominent or common adverse effect.

A. Liver disease B. Gender C. Height D. Age E. Genetic factors

Correct Answer is ["A","C","D","E"]

Explanation

a) Liver disease can affect drug metabolism and clearance, influencing the response to medications.

b) Gender may play a role in drug response, as there are some gender-related differences in drug metabolism and distribution.

c) Height can influence drug dosing, especially for medications with weight-based dosing.

d) Age is a crucial factor in drug response, as the metabolism and elimination of drugs can vary across different age groups.

e) Genetic factors, including variations in drug-metabolizing enzymes and drug receptors, can significantly impact an individual's response to a drug.

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A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is giving discharge instructions to a client who is beginning theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects?

Correct Answer is A

Explanation

Which variables can help determine the client's response to a drug? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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