A patient is prescribed propranolol for migraine prevention. Which assessment finding would be a priority to report to the provider?
BP 130/80mmHg
Expiratory wheezing
Hunger and thirst
Pulse 98 beats/min
The Correct Answer is B
Choice A rationale: A blood pressure reading of 130/80 mmHg is within the normal range and would not be a priority to report.
Choice B rationale: Expiratory wheezing is a potential adverse effect of propranolol, especially in patients with a history of asthma or other respiratory conditions. It should be reported promptly to the provider.
Choice C rationale: Hunger and thirst are not typically associated with adverse effects of propranolol.
Choice D rationale: A pulse of 98 beats/min is within the normal range and would not be a priority to report.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Protamine sulfate is used to reverse the anticoagulant effects of heparin, not the effects of alprazolam.
Choice B rationale: Acetylcysteine is the antidote for acetaminophen (paracetamol) overdose and is not effective for alprazolam overdose.
Choice C rationale: Naloxone is an opioid antagonist and is not effective for benzodiazepine overdose.
Choice D rationale: This is correct. Flumazenil is a specific antagonist for benzodiazepines and can be used to reverse the sedative effects of alprazolam in the case of overdose.
Correct Answer is C
Explanation
Choice A rationale: Disorientation and hallucinations are not common side effects of fluoxetine. These symptoms may indicate other issues and should be reported to the healthcare provider.
Choice B rationale: Sexual side effects, including a potential decrease in interest in sex, are known side effects of fluoxetine. The statement suggesting enhanced interest is not accurate.
Choice C rationale: Fluoxetine, like other selective serotonin reuptake inhibitors (SSRIs), may take 3 to 4 weeks or even longer for the full therapeutic effect to be achieved.
Choice D rationale: Abruptly stopping fluoxetine is not recommended and can lead to withdrawal symptoms. The medication should be tapered under the guidance of a healthcare provider.
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