A nurse is interviewing a client who was newly admitted prior to administering medications.
The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma."
For which of the following medications should the nurse withhold the dose and notify the provider?
Propranolol.
Isosorbide mononitrate.
Pantoprazole.
Montelukast.
The Correct Answer is A
The nurse should withhold the dose of propranolol and notify the provider.
Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.
In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.
Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.
Choice C is wrong because there is no known interaction between albuterol and pantoprazole.
Choice D is wrong because there is no known interaction between albuterol and montelukast.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Sodium polystyrene sulfonate is a medication used to treat high levels of potassium in the blood.
A potassium level of 4.6 mEq/L is within the normal range, indicating that the medication has been effective in reducing high levels of potassium in the blood.
Choice B is wrong because Calcium 8 mg/dL, is not the correct answer because it measures the level of calcium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
Choice C is wrong because Magnesium.1 mEq/L, is not the correct answer because it measures the level of magnesium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
Choice D is wrong because Sodium 150 mEq/L, is not the correct answer because it measures the level of sodium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
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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