A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons.
The nurse should assess the client for which of the following findings?
Bradypnea.
Hyperkalemia.
Tachycardia.
Rhinitis.
The Correct Answer is C
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
Abrupt discontinuation of propranolol can result in a variety of adverse reactions, including tachycardia (increased heart rate).
Choice A is wrong because bradypnea (abnormally slow breathing) is not a known withdrawal symptom of propranolol.
Choice B is wrong because hyperkalemia (high potassium levels) is not a known withdrawal symptom of propranolol.
Choice D is wrong because rhinitis (inflammation of the nasal mucous membrane) is not a known withdrawal symptom of propranolol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale:
Documenting the administration of the medication is crucial for maintaining accurate records and ensuring accountability. However, it is not the first action to take. The priority is to ensure the correct patient receives the correct medication.
Choice B rationale:
Identifying the client using two identifiers is the first and most critical step. This action ensures that the right patient receives the right medication, thereby minimizing the risk of medication errors.
Choice C rationale:
Comparing the amount of medication available to the inventory record is important for maintaining accurate inventory and preventing misuse or theft of controlled substances. However, this is not the first step in the process of administering medication to a patient in pain.
Choice D rationale:
Removing the medication from the medication dispensing cabinet is part of the process, but it should only be done after the patient has been properly identified to avoid any potential errors.
Correct Answer is D
Explanation
Improved cognition should indicate to the nurse that the treatment with a hypertonic solution for hyponatremia is effective.
Hyponatremia can cause confusion and other neurological symptoms, so an improvement in cognition would suggest that the treatment is working to correct the electrolyte imbalance.
Choice A is wrong because Chvostek’s sign is a clinical sign of hypocalcemia, not hyponatremia.
Choice B is wrong because while vomiting can be a symptom of hyponatremia, a decrease in vomiting alone does not necessarily indicate that the treatment is effective.
Choice C is wrong because while hyponatremia can cause cardiac arrhythmias, the absence of arrhythmias alone does not necessarily indicate that the treatment is effective.
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