A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?

Heart rate of 56/min

Sa02 95% on 2 L/min of oxygen

Respirations 22/min

Blood pressure 106/68 mm Hg

Answer and Explanation

The Correct Answer is A

Propranolol is a beta-blocker agent that is used to block beta adrenoceptors on blood vessels that leads to lower the heart rate. It used in clients with hypertension and heart failure. However, a heart rate below 60/min is alarming as the client is likely to develop symptoms of reduced perfusion such as fatigue

Spo2 of 95% and a respiratory rate of 22 are okay and not related to propranolol unless the client is asthmatic

D-A blood pressure of 106/68 is normal and requires no intervention

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Correct Answer is A

Explanation

Metformin is a glucose lowering agent that could lead to hypoglycemia in non-diabetics B,C,D- Metformin has no effect on thyroid function, uric acid and HDL levels

A. PT B. Total iron-binding capacity C. WBC D. PTT

Correct Answer is A

Explanation

PT measures the time it takes for blood to clot, and it is particularly relevant for clients taking warfarin because warfarin works by inhibiting the synthesis of certain clotting factors, including factors II, VII, IX, and X, which are involved in the PT pathway. Monitoring PT levels helps ensure that the client is receiving an appropriate dose of warfarin to prevent clot formation without causing excessive bleeding.
B. Total iron-binding capacity (TIBC) is a test used to assess iron levels in the blood and is unrelated to warfarin therapy.
C. WBC (White Blood Cell count) is a test used to assess the number of white blood cells in the blood and is unrelated to warfarin therapy.
D. PTT (Partial Thromboplastin Time) is a test used to evaluate the intrinsic and common pathways of the coagulation cascade. It is used in the monitoring of heparin anticoagulant therapy. It is not typically used to monitor warfarin therapy

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A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?

Nursing Test Bank

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