A nurse is caring for a client scheduled to undergo an esophagogastroduodenoscopy. What action should the nurse take in preparation for the procedure?

Choice A rationale

Glaucoma is a contraindication for taking propranolol. Propranolol is a non-selective beta- blocker that can decrease intraocular pressure, which could worsen glaucoma.

Choice B rationale

DeBou syndrome is not a recognized medical condition and therefore cannot be a contraindication for taking propranolol.

Choice C rationale

Migraine headaches are not a contraindication for taking propranolol. In fact, propranolol is often used in the prevention of migraines.

Choice D rationale

A history of kidney stones is not a contraindication for taking propranolol. Propranolol does not affect kidney stone formation or exacerbate this condition.

Choice A rationale

Fever is not typically a sign of fluid overload. It’s more commonly associated with a transfusion reaction, which could indicate an immune response to the transfused blood.

Choice B rationale

Dyspnea, or difficulty breathing, can be a sign of fluid overload. When the body has too much fluid, it can put pressure on the lungs, making it harder to breathe.

Choice C rationale

Pruritus, or itching, is not typically a sign of fluid overload. It may be a sign of an allergic reaction to the transfusion.

Choice D rationale

Bradycardia, or a slow heart rate, is not typically a sign of fluid overload. In fact, tachycardia, or a fast heart rate, is more common as the heart works harder to pump the excess fluid.