A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial fibrillation. Which of the following actions should the nurse take?
Withhold the medication if the systolic blood pressure is less than 90 mm Hg.
Request a dosage increase if the apical heart rate is less than 60/min.
Inform the client to expect increased hair growth.
Administer the medication with an antacid.
The Correct Answer is A
Choice A reason: Withholding the medication if the systolic blood pressure is less than 90 mm Hg is an appropriate action, as propranolol is a beta-blocker that can lower blood pressure and cause hypotension, which can impair tissue perfusion and cause dizziness, fainting, or shock.
Choice B reason: Requesting a dosage increase if the apical heart rate is less than 60/min is an inappropriate action, as propranolol can slow down the heart rate and cause bradycardia, which can lead to fatigue, weakness, or cardiac arrest. The nurse should monitor the apical pulse before administering propranolol and withhold it if it is less than 60/min.
Choice C reason: Informing the client to expect increased hair growth is an incorrect statement, as propranolol does not cause hypertrichosis or excessive hair growth. However, another beta-blocker, minoxidil, can cause this side effect.
Choice D reason: Administering the medication with an antacid is not an appropriate action, as antacids can interfere with the absorption of propranolol and reduce its effectiveness. The nurse should administer propranolol on an empty stomach or with food that does not contain antacids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Using NSAIDs for pain relief is not a risk factor for osteoporosis. NSAIDs are nonsteroidal anti-inflammatory drugs that are used to treat pain and inflammation. They do not affect bone density or calcium metabolism.
Choice B reason: Age 45 years is not a risk factor for osteoporosis. Osteoporosis is more common in older adults, especially postmenopausal women, but it can affect anyone at any age. The risk of osteoporosis increases with age, but it is not determined by a specific age.
Choice C reason: Smoking cigarettes is a risk factor for osteoporosis. Smoking can reduce bone mass and increase bone loss by interfering with the production and activity of estrogen, which is a hormone that protects bone health. Smoking can also impair blood circulation and oxygen delivery to the bones, which can affect their growth and repair.
Choice D reason: Regular aerobic exercise is not a risk factor for osteoporosis. Aerobic exercise is a type of physical activity that increases the heart rate and improves cardiovascular fitness. Aerobic exercise can also benefit bone health by stimulating bone formation and increasing bone density. Aerobic exercise can also prevent falls and fractures by improving balance and coordination.
Correct Answer is A
Explanation
Choice A reason: Applying a motion sensor mat to the client's bed is an appropriate action to prevent wandering and alert the staff if the client tries to get out of bed.
Choice B reason: Moving the overbed table away from the bed is not an effective action to prevent wandering, as it does not restrict the client's mobility or provide any supervision.
Choice C reason: Raising all four side rails while the client is in bed is an inappropriate action that can increase the risk of injury or entrapment if the client attempts to climb over them.
Choice D reason: Leaving the television on in the client's room is not an effective action to prevent wandering, as it does not provide any stimulation or distraction for the client.
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