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

Nifedipine is a calcium channel blocker is used in the management of hypertension. It leads to vasodilation of blood vessels lowering blood pressure. Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. Therefore, the nurse should assess the client's blood pressure prior to administering nifedipine to ensure that it is within the therapeutic range and not too low, as nifedipine can cause hypotension (as a side effect.

B,C, D- Nifedipine has no effect on respiratory rate, temperature and oxygen saturation

A. Headache B. Hypotension C. Chest pain D. Extravasation

Correct Answer is B

Explanation

Septic shock is a state of reduced intravascular volume due to extravasation of plasma. It is caused by systemic infections that lead to inflammation and increased leakage in blood vessels. It presents with hypotension, and persistent hypotension indicates that the infusion rate is not addressing the shock status.

A, C, D- These are adverse effects that can be observed with dopamine and could be worsened by increasing the infusion rate.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

Correct Answer is A

Explanation

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

Correct Answer is B

Explanation

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