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 ["A","C","D","E"]
Explanation
Choice A rationale
Toddlers have high energy needs, so they need a diet that provides enough calories. Parents should be educated on providing a balanced diet that includes a variety of foods to meet their toddler’s nutritional needs.
Choice B rationale
Establishing trust is more relevant to infancy, when babies learn to trust their caregivers to meet their needs. While it’s still important as children grow, it’s not a key point of health promotion education for parents of toddlers.
Choice C rationale
Toddlers often express their independence and frustration through tantrums. Parents should be educated on how to handle tantrums in a calm, consistent manner, and how to teach their child appropriate ways to express their feelings.
Choice D rationale
Cooperative play is a part of social development in toddlers. Parents should be educated on how to encourage this type of play, such as arranging playdates with children of a similar age.
Choice E rationale
Dental care is important for toddlers. Parents should be educated on how to care for their toddler’s teeth and gums, including brushing their teeth twice a day and scheduling regular dental check-ups.
Correct Answer is B
Explanation
Choice A rationale
Petechiae, or small red or purple spots on the skin caused by minor bleeding from broken capillary blood vessels, are an objective finding. They can be seen and evaluated by the nurse during a physical examination.
Choice B rationale
Nausea is a subjective symptom. It is something the patient experiences and reports, but it cannot be directly observed or measured by the nurse.
Choice C rationale
Cyanosis, or bluish discoloration of the skin due to poor circulation or inadequate oxygenation of the blood, is an objective finding. It can be observed by the nurse during a physical examination.
Choice D rationale
Fever is an objective finding. It can be measured by the nurse using a thermometer.
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