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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: TPN cannot be administered subcutaneously due to its composition.
Choice B rationale: Intraosseous access is for emergency situations when IV access isn't attainable.
Choice C rationale: A midline catheter might not be suitable for the hypertonic nature of TPN and can lead to complications.
Choice D rationale: Total parenteral nutrition (TPN) is a hypertonic solution that requires infusion into a large vein. The central venous access device allows for high-flow rates and avoids irritation or damage to smaller peripheral veins.
Correct Answer is D
Explanation
Choice A rationale: Exophthalmos (bulging eyes) is a characteristic feature of Graves' disease and might not directly relate to the need for a lower medication dose.
Choice B rationale: Weight loss is a symptom of hyperthyroidism and might not directly indicate the need for a lower methimazole dose.
Choice C rationale: Diaphoresis (excessive sweating) can be a symptom of hyperthyroidism but might not solely indicate the need for a lower methimazole dose.
Choice D rationale: Bradycardia (abnormally slow heart rate) might indicate excessive suppression of thyroid function caused by an excessive dose of methimazole in a client with Graves' disease, warranting a lower medication dose.
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