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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale: Adjusting the dose based on symptoms is not appropriate for phenytoin. It should be taken consistently as prescribed.
Choice B rationale: While taking phenytoin with meals is a general recommendation, it is not the priority teaching point.
Choice C rationale: Informing the patient about the prevention of gingival hyperplasia is important but not the top priority.
Choice D rationale: Teaching the patient to avoid the abrupt cessation of treatment is crucial. Abruptly stopping phenytoin can lead to seizures, and patients should be advised to taper the medication under medical supervision.

A. At bedtime to minimize adverse effects. B. For a maximum of 1 to 2 years. C. While sitting upright with plenty of water. D. With coffee or orange juice to increase absorption.

Correct Answer is C

Explanation

Choice A rationale: Alendronate should be taken in the morning, not at bedtime, and the patient should remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation and ulceration.
Choice B rationale: Alendronate is often prescribed for longer durations, and the maximum duration is not typically limited to 1 to 2 years. The duration of treatment is individualized based on the patient's risk factors.
Choice C rationale: Alendronate should be taken while sitting upright with plenty of water to ensure proper esophageal transit and minimize the risk of irritation.
Choice D rationale: Alendronate should be taken with plain water, and taking it with coffee or orange juice is not recommended, as it may decrease absorption.

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A patient is prescribed propranolol for migraine prevention. Which assessment finding would be a priority to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is prescribed phenytoin for epileptic seizures. Which of the following is the priority for patient teaching?

Correct Answer is D

Explanation

A client diagnosed with osteoporosis will begin taking alendronate. The nurse will teach this patient to take the

Correct Answer is C

Explanation

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