A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.
Which historical finding should the nurse report to the provider?
The patient has a history of migraine headaches.
The patient has a history of hypothyroidism.
The patient has a history of hypertension.
The patient has a history of bronchial asthma.
The Correct Answer is D
Choice A rationale
Propranolol is sometimes used to prevent migraines, so a history of migraines would not typically be a contraindication.
Choice B rationale
Hypothyroidism is not typically a contraindication for propranolol. However, propranolol can affect the metabolism of thyroid hormones and may mask signs of hyperthyroidism.
Choice C rationale
Propranolol is often used to treat hypertension, so a history of hypertension would not typically be a contraindication.
Choice D rationale
Propranolol is a non-selective beta-blocker, which means it blocks beta receptors in both the heart and the lungs. This can potentially cause bronchoconstriction and exacerbate asthma symptoms, so it should be used with caution in patients with a history of bronchial asthma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
MRSA, or Methicillin-resistant Staphylococcus aureus, is a type of bacteria that is resistant to many antibiotics. Antiviral medications are used to treat viral infections, not bacterial infections like MRSA1234.
Choice B rationale
Patients with MRSA are typically placed on contact precautions, not airborne precautions. This is because MRSA is primarily spread through direct contact with an infected wound or from contaminated hands, not through the air.
Choice C rationale
While MRSA can survive on hands, it typically survives for less than an hour. However, the exact duration can vary depending on the conditions.
Choice D rationale
Bathing patients with water and chlorhexidine gluconate is a common practice to help control MRSA. Chlorhexidine gluconate is an antiseptic that kills a wide range of bacteria, including MRSA1234.
Correct Answer is D
Explanation
Choice A rationale
Constipation is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice B rationale
Weight gain of 5 lb in 1 month could be a side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice C rationale
Insomnia is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice D rationale
Muscle stiffness could be a sign of a serious side effect of aripiprazole known as extrapyramidal symptoms. This could include conditions such as dystonia, akathisia, and Parkinsonism. If a patient experiences muscle stiffness while taking aripiprazole, the healthcare provider should be notified.
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