A nurse caring for a client who has hypertension is asked about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Asthma

Glaucoma

Depression

Migraines

Answer and Explanation

The Correct Answer is A

Choice A reason: Propranolol is contraindicated in patients with asthma as it may cause bronchoconstriction, exacerbating respiratory difficulties.

Choice B reason: Glaucoma is not a contraindication for propranolol; in fact, betablockers can be used to treat glaucoma by reducing intraocular pressure.

Choice C reason: Depression is not a direct contraindication, but caution is advised as propranolol can sometimes worsen symptoms of depression.

Choice D reason: Propranolol is often used as a preventive treatment for migraines and is not contraindicated in patients with this condition.

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

Explanation

Choice A reason: Bradycardia, or a slower than normal heart rate, is not typically an indication of infection. It can be related to other health issues or medication effects.

Choice B reason: An increase in platelets, or thrombocytosis, can occur in response to various conditions, but it is not a specific indicator of infection in diabetic foot pain.

Choice C reason: An increase in RBCs, or erythrocytosis, is generally not associated with infection. It could indicate other conditions such as polycythemia vera.

Choice D reason: Localized edema, or swelling, can be a sign of infection, especially if accompanied by other symptoms such as redness, warmth, and pain.

Choice E reason: An increase in neutrophils, a type of white blood cell, often indicates the body's response to an infection. Neutrophils are part of the immune system's first line of defense against pathogens.

A. "The normal range for serum creatinine is 0.6 to 1.2 mg/dL for males and 0.5 to 1.1 mg/dL for females." B. "A GFR below 60 mL/min/1.73 m for three months or more suggests chronic kidney disease." C. "Blood urea nitrogen (BUN) levels should be between 7 and 20 mg/dL." D. "An increase in serum potassium can indicate hyperkalemia, which may be a sign of acute kidney injury."

Correct Answer is B

Explanation

Choice A reason: The normal range for serum creatinine is indeed 0.6 to 1.2 mg/dL for males and 0.5 to 1.1 mg/dL for females. Serum creatinine is a waste product from the normal breakdown of muscle tissue. As kidneys become impaired for any reason, the serum creatinine level rises due to poor clearance by the kidneys.

Choice B reason: A GFR below 60 mL/min/1.73 m for three months or more is one of the criteria for the diagnosis of chronic kidney disease. GFR is a measure of how well the kidneys filter blood, and a lower GFR indicates poorer kidney function.

Choice C reason: Blood urea nitrogen (BUN) levels should indeed be between 7 and 20 mg/dL. BUN measures the amount of nitrogen in your blood that comes from the waste product urea. Urea is made when protein is broken down in your body. BUN levels can rise with the level of protein in your diet and your kidney function[^10^].

Choice D reason: An increase in serum potassium can indicate hyperkalemia, which may be a sign of acute kidney injury. Potassium is a critical electrolyte, and its levels are tightly regulated by the kidneys. High levels can lead to dangerous heart rhythms.

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A nurse caring for a client who has hypertension is asked about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)

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

Explanation

A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the renal system?

Correct Answer is B

Explanation

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