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: Methadone is an opioid analgesic and may exacerbate respiratory depression. It is not typically used as an antidote for opioid overdose.
Choice B rationale: Nalbuphine is a partial opioid agonist-antagonist and may have less respiratory depressant effect than pure opioid agonists. However, naloxone is the specific opioid antagonist used in opioid overdose situations.
Choice C rationale: Tramadol is an opioid analgesic and may exacerbate respiratory depression. It is not typically used as an antidote for opioid overdose.
Choice D rationale: Naloxone is the opioid antagonist used to reverse opioid- induced respiratory depression. It should be administered in the case of opioid overdose.
Correct Answer is B
Explanation
Choice A rationale: Diphenhydramine blocks the action of histamine by binding to H1 receptors, rather than preventing its release from mast cells.
Choice B rationale: Diphenhydramine works by blocking the activation of histamine receptors, preventing the effects of histamine.
Choice C rationale: Diphenhydramine is not involved in preventing axonal conduction.
Choice D rationale: Diphenhydramine is an H1 receptor antagonist and does not promote receptor activation.
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