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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation
B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration
C-Use of 2 identifiers ensures right client which is part of the rights of medication administration
D-Documenting full names is important for record-keeping but not part of the rights of medication administration
Correct Answer is ["50"]
Explanation
Infusion rate (gtt/min)= ( Volume (mL)/ Time (min) × Drop factor Substitute the values into the formula
100ml/30 *15
=50gtt/min
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
