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 A

Explanation

Choice A rationale: A lithium level of 2.6 mEq/L is significantly elevated and poses a risk of lithium toxicity. Hemodialysis is the most effective intervention to rapidly lower the lithium level in severe cases of toxicity.
Choice B rationale: Left lateral positioning is not the priority in this situation; immediate intervention to lower the lithium level is necessary.
Choice C rationale: Fluid restrictions alone might not rapidly lower the elevated lithium level in severe toxicity.
Choice D rationale: Given the elevated level, increasing the dosage would exacerbate toxicity and is inappropriate.

A. "Insert the entire length of the needle into the skin during injection." B. "Massage the insertion site after injecting the medication." C. "Alternate injection sites between the sides of the abdomen." D. "Grasp the skin between the thumb and forefinger while injecting the medication." E. "Expel the air bubble from the prefilled syringe."

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale: For subcutaneous injections like enoxaparin, the entire length of the needle needs to be inserted to ensure that the medication reaches the fatty tissue under the skin and reduces the risk of bleeding or bruising.
Choice B rationale: The client should not massage the insertion site after injecting the medication, as this may increase the risk of hematoma formation.
Choice C rationale: The client should alternate injection sites between the sides of the abdomen to prevent bruising and irritation.
Choice D rationale: The client should also grasp the skin between the thumb and forefinger while injecting the medication to create a fold of tissue. This ensures that the medication is delivered into the subcutaneous layer and not the muscle.
Choice E rationale: The client should not expel the air bubble from the prefilled syringe, as this helps to seal the medication in the tissue and prevent leakage while ensuring that you receive the full dose of medication.

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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 reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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