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 D

Explanation

A. While this question may provide some insight into the patient's drinking habits, it is not as direct and informative as asking about the quantity of alcohol consumed.
B. This question may reveal a history of alcohol-related problems, but it does not provide information about the patient's current drinking habits.
C. While this question may be relevant in some cases, it is not a universal indicator of alcohol abuse. Many people may drink alone without having a problem with alcohol.
D. To assess an older adult's risk potential for alcohol abuse, it is important to get a sense of their drinking habits. Asking about the number of alcoholic drinks consumed each week is a direct and informative way to assess their drinking patterns.

A. "After my husband died, I married a good man who was there for me and my children." B. "Since my husband's death, I’ve grown even closer to my sisters." C. "It’s been hard since my husband died, but you manage to go on somehow." D. "After my husband died, I managed to raise and educate our two children by myself."

Correct Answer is A

Explanation

A. This statement indicates that the patient has been able to form a new, healthy relationship and find support after the loss of her husband. This suggests a positive coping mechanism and resilience in the face of emotional stress.

B. While this indicates the patient has found support from family, it doesn't directly address her ability to cope with emotional stressors.
C. This statement suggests that the patient has been able to cope with the loss, but it doesn't provide specific information about her coping mechanisms.
D. While this demonstrates the patient's resilience and ability to handle challenges, it doesn't necessarily indicate a healthy ability to cope with emotional stressors.

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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

An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks:

Correct Answer is D

Explanation

The nurse is discussing an older adult’s past marital history during the admission assessment. The nurse can best determine that the patient has a healthy ability to cope with emotional stressors when the patient states:

Correct Answer is A

Explanation

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