A nurse is reviewing the medical history of a client who has a prescription for atenolol 40 mg daily. The nurse knows which of the following findings is a contraindication to the new medication?

The client has a history of migraine headaches.

The client has a history of bronchial asthma.

The client has a history of hypothyroidism.

The client has a history of hypertension.

Answer and Explanation

The Correct Answer is B

Rationale:

A. A history of migraine headaches is not a contraindication to atenolol use.

B. Atenolol is a beta-blocker, and its use is contraindicated in clients with bronchial asthma or a history of severe bronchospastic disease due to the risk of exacerbating bronchospasm.

C. A history of hypothyroidism is not a contraindication to atenolol use.

D. A history of hypertension is an indication for atenolol use, not a contraindication.

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Correct Answer is A

Explanation

Rationale:

A. Captopril, an angiotensin-converting enzyme (ACE) inhibitor, commonly causes a dry cough as a side effect due to the accumulation of bradykinin.

B. Captopril typically does not cause drowsiness as a side effect.

C. Captopril may cause a decrease in heart rate as a result of its vasodilatory effects, but this is not a primary therapeutic effect of the medication.

D. Captopril primarily affects blood pressure and heart function but does not directly lower LDL cholesterol levels.

A. Hemoptysis will occur during the initial treatment. B. Avoid restrictive clothing. C. Epistaxis is an expected outcome. D. Take an NSAID if a headache occurs.

Correct Answer is B

Explanation

Rationale:

A. Hemoptysis (coughing up blood) is not a common or expected side effect of warfarin therapy.

It may indicate a serious complication and should be reported to a healthcare provider immediately.

B. Warfarin increases the risk of bleeding, so it is important for the client to avoid activities or clothing that may increase the risk of injury or bleeding, such as tight or restrictive clothing.

C. Epistaxis (nosebleeds) can occur as a side effect of warfarin therapy due to its anticoagulant effects. While it is a potential side effect, it is not an expected outcome and should be reported to the healthcare provider.

D. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided while taking warfarin because they can increase the risk of bleeding due to their antiplatelet effects. If a headache occurs, the client should consult their healthcare provider for appropriate pain management options.

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A nurse is reviewing the medical history of a client who has a prescription for atenolol 40 mg daily. The nurse knows which of the following findings is a contraindication to the new medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who has a new prescription for captopril. Which of the following statements by the client demonstrates an understanding of the teaching of this medication?

Correct Answer is A

Explanation

A nurse is providing discharge teaching for a client who has a new prescription for warfarin.Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

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A nurse is reviewing the medical history of a client who has a prescription for atenolol 40 mg daily. The nurse knows which of the following findings is a contraindication to the new medication?

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