A patient is receiving propranolol (Inderal) for hypertension. Which outcome is the best indicator of goal success when considering the drugs potential effect on the patients quality of life?

The patients blood pressure stays within normal limits

The patient experiences no injuries as a result of dizziness

The patient describes symptoms indicative of an adverse drug reaction

The patient verbalizes the importance of moderate exercise

Answer and Explanation

The Correct Answer is B

A.   While controlling blood pressure is the primary goal of propranolol therapy, it doesn't directly address the medication's potential impact on quality of life.
B.   Propranolol, a beta-blocker, is commonly used to treat hypertension. Dizziness is a common side effect of this medication. Therefore, the best indicator of goal success regarding the drug's effect on the patient's quality of life is the absence of injuries related to dizziness. This indicates that the patient is able to manage the side effect and continue their daily activities safely.
C.   If the patient experiences adverse drug reactions, it indicates that the medication is not being tolerated well and may need to be adjusted or discontinued.
D.   While regular exercise is important for overall health, it doesn't directly address the specific goal of improving the patient's quality of life in relation to the medication.

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Correct Answer is A

Explanation

Amount of gentamycin sulfate to administer= (desired dose ÷ available dose) × available quantity. In this case,

The desired dose is 100 mg, and the available dose is 60 mg in 1.5 mL.

Using the formula, the calculation would be: (100 mg ÷ 60 mg) × 1.5 mL = 2.5 mL.

Therefore, the nurse should prepare 2.5 mL of gentamycin sulfate to administer to the patient.

A. protect the kidneys function B. have a well-defined therapeutic window C. can be given when liver function is compromised D. are more effective than other drugs in the same class

Correct Answer is A

Explanation

A. Angiotensin II receptor blockers (ARBs) are a class of medications used to treat high blood pressure. They work by blocking the effects of angiotensin II, a hormone that constricts blood vessels and causes the kidneys to retain sodium and water. This can lead to increased blood pressure and damage to the kidneys.

B. While ARBs do have a well-defined therapeutic window, this is not the primary reason why they are especially useful in older adults.
C. ARBs should be used with caution in patients with liver problems, as they can be metabolized by the liver.
D. ARBs are generally considered to be as effective as other antihypertensive medications, such as angiotensin-converting enzyme (ACE) inhibitors.

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A patient is receiving propranolol (Inderal) for hypertension. Which outcome is the best indicator of goal success when considering the drugs potential effect on the patients quality of life?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse receives an order to administer 100 mg of gentamycin sulfate to a patient as an IM injection. The nurse has on hand gentamycin sulfate 60 mg/1.5 mL. How many mls should the nurse prepare to administer to the patient?

Correct Answer is A

Explanation

An older adult diabetic patient is mildly hypertensive. The nurse prepares to educate the patient regarding angiotensin ll blocking agents. These drugs are especially useful in older adults because they:

Correct Answer is A

Explanation

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