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 A
Explanation
Choice A rationale: Patient-controlled analgesia (PCA) devices provide a controlled dose of medication when the patient presses the button. However, the onset of action for morphine is typically faster than 10 minutes.
Choice B rationale: PCA devices often have a lock-out period to prevent patients from administering too many doses too quickly and risking overdose.
Choice C rationale: Patient-controlled analgesia is designed for the patient to self- administer the medication. Allowing family members to press the button may lead to inaccurate dosing.
Choice D rationale: Morphine should be administered as needed, not preemptively.
Administering the medication 10 minutes before physical therapy could result in excessive sedation.
Correct Answer is B
Explanation
Choice A rationale: Phenylephrine can help relieve nasal congestion and improve breathing.
Choice B rationale: Using the nasal spray as often as needed can lead to rebound congestion and should be avoided. Phenylephrine nasal spray should be used according to the healthcare provider's instructions.
Choice C rationale: Increasing oral fluids can help with hydration, especially when using a decongestant nasal spray.
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