A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Pain level

Temperature

Heart rate

Respiratory rate

Answer and Explanation

The Correct Answer is C

Choice A rationale: Propranolol is not primarily administered to address pain; therefore, assessing pain level is not directly related to its administration.
Choice B rationale: Propranolol administration is not typically associated with temperature changes.
Choice C rationale: Propranolol is a beta-blocker primarily used to reduce heart rate and blood pressure. Assessing the heart rate before administering propranolol is crucial due to its effects on cardiac function.
Choice D rationale: While propranolol might impact respiratory function, assessing heart rate is more directly related to its administration.

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Correct Answer is C

Explanation

Choice A rationale: Naloxone reverses opioid effects and may lead to decreased pain relief.
Choice B rationale: Naloxone might cause an increase in blood pressure rather than a decrease.
Choice C rationale: Naloxone is an opioid antagonist used to reverse the effects of opioids like morphine. Increased respiratory rate is a therapeutic effect of naloxone, countering the respiratory depression caused by opioids.
Choice D rationale: Naloxone's primary action is to counter opioid-induced respiratory depression, not directly address nausea.

A. The client's absolute neutrophil count was 2,500/mm3 before the medication was administered. B. The medication vial sat at room temperature for 2 hr before it was administered. C. The client had chemotherapy 12 hr before the medication was administered. D. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered.

Correct Answer is B

Explanation

Choice A rationale: The client's initial neutrophil count might be within an acceptable range for filgrastim administration.
Choice B rationale: Filgrastim, a medication used to increase white blood cell count, should ideally be stored and administered as per manufacturer recommendations.
Allowing it to sit at room temperature for an extended period could affect its potency or efficacy, necessitating an incident report.
Choice C rationale: Having chemotherapy before filgrastim administration might not necessitate an incident report.
Choice D rationale: Flushing the IV line with dextrose solution is a routine practice and might not relate to the need for an incident report.

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A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone.

Correct Answer is C

Explanation

A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Correct Answer is B

Explanation

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