A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?

Depression

Glaucoma

Migraine

Heart failure

Answer and Explanation

The Correct Answer is D

A. Depression: While propranolol can sometimes worsen symptoms of depression, this is not as critical as the impact on conditions like heart failure.

B. Glaucoma: Propranolol does not typically affect glaucoma; however, some beta-blockers are used to treat glaucoma.

C. Migraine: Propranolol is sometimes used to prevent migraines, so a history of migraines would not require discontinuation.

D. Heart failure: Propranolol can exacerbate heart failure by reducing myocardial contractility. Clients with heart failure require careful monitoring or an alternative medication.

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Correct Answer is B

Explanation

A. Fatigue. Fatigue can be a common symptom of various health conditions, including heart disease, and is not specific to pacemaker malfunction.

B. Rapid pulse. A rapid pulse or palpitations may signal a malfunction where the pacemaker is pacing too quickly or erratically.

C. Increased urine output. Increased urine output is not related to pacemaker function and does not indicate a malfunction.

D. Sneezing. Sneezing is unrelated to pacemaker malfunction and does not warrant provider notification.

A. Obtain a blood sample. B. Initiate oxygen therapy. C. Attach the leads for a 12-lead ECG. D. Insert the IV catheter.

Correct Answer is B

Explanation

A. Obtain a blood sample. Although obtaining a blood sample is essential for cardiac enzyme levels, it is not the highest priority. Addressing oxygenation takes precedence to relieve hypoxia.

B. Initiate oxygen therapy. Oxygen is the first priority to improve oxygenation in a client showing signs of hypoxia (cyanosis, dyspnea), which can prevent further ischemic damage to the heart.

C. Attach the leads for a 12-lead ECG. While obtaining an ECG is essential for diagnosing myocardial ischemia, ensuring oxygenation is more critical in this moment.

D. Insert the IV catheter. An IV line is necessary to administer fluids and medications, but oxygenation should be prioritized first to stabilize the client.

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A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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