A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following findings should the nurse identify as an adverse effect of the medication?

Respiratory rate 24/min

Oral temperature 38.9° C (102° F)

Blood pressure 118/78 mm Hg

Apical pulse 50/min

Answer and Explanation

The Correct Answer is D

A. A respiratory rate of 24/min is elevated and may suggest respiratory distress, but it is not a specific adverse effect of propranolol.

B. An oral temperature of 38.9° C (102° F) indicates fever, which is not a typical adverse effect of propranolol.

C. A blood pressure of 118/78 mm Hg is within normal limits and does not indicate an adverse effect of propranolol, which is often used to manage hypertension.

D. An apical pulse of 50/min indicates bradycardia, a known adverse effect of propranolol, which can occur due to its action on the heart rate.

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Correct Answer is D

Explanation

A. This statement is incorrect because omeprazole is not an antibiotic and does not kill bacteria; it is a proton pump inhibitor (PPI) that reduces acid production.

B. This statement is incorrect; omeprazole does not neutralize stomach acid, but rather decreases its production.

C. This statement is also incorrect; omeprazole does not coat the stomach lining; it works by inhibiting the proton pumps in the stomach lining to reduce acid secretion.

D. This statement is correct; omeprazole reduces stomach acid production, which is beneficial for managing GERD symptoms.

A. Gastrointestinal bleed B. Acute bronchospasm C. Morphine toxicity D. Acetaminophen toxicity

Correct Answer is D

Explanation

A. Acetylcysteine is not indicated for gastrointestinal bleeding; other treatments are used for that condition.

B. Acute bronchospasm is treated with bronchodilators rather than acetylcysteine.

C. Morphine toxicity requires other interventions, such as opioid antagonists (e.g., naloxone), and acetylcysteine is not effective in this case.

D. Acetylcysteine is specifically indicated for acetaminophen toxicity as it acts as an antidote, replenishing glutathione stores and preventing liver damage from toxic metabolites.

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A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following findings should the nurse identify as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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