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

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.

A. Administering blood pressure screening at a mall B. Fitting impoverished older adults with glasses C. Dispensing free flu vaccinations at a clinic D. Teaching about the risks of sun exposure

Correct Answer is A

Explanation

A. This activity involves assessing individuals for high blood pressure, which is a common risk factor for cardiovascular diseases. Blood pressure screening is a classic example of secondary prevention because it aims to detect hypertension early so that it can be managed before complications, such as heart disease or stroke, develop. This activity is appropriate for secondary prevention as it helps identify those with undiagnosed hypertension and provides an opportunity for early intervention.
B. Fitting glasses addresses a specific need related to vision but does not primarily focus on early detection or intervention for diseases. It falls more under the category of tertiary prevention, which aims to manage existing conditions and prevent further complications or disabilities. While improving vision is beneficial, this activity does not primarily fit the secondary prevention model of detecting disease early in asymptomatic individuals.
C. This activity is an example of primary prevention, not secondary prevention. Primary prevention aims to prevent diseases before they occur, such as through vaccination to prevent influenza. Although flu vaccines are important for public health, they do not fit the secondary prevention model, which is concerned with early detection and intervention for existing or developing health issues.
D. This activity is also an example of primary prevention. Teaching about sun exposure risks aims to prevent skin cancer by promoting behaviors that reduce the risk of developing the disease. It focuses on educating people to avoid sunburns and protect their skin to prevent skin cancer from developing in the first place. Thus, it does not fit the secondary prevention model.

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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

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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