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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A) Hydroxyzine is an antihistamine that can reduce redness, itching, and edema.
B) While nausea can be a side effect, it is not the primary concern with hydroxyzine.
C) Avoiding alcohol is important as it can enhance the sedative effects of hydroxyzine.
D) Hydroxyzine is known for its sedative effects, and sedation is a common side effect that the client should be aware of.
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