The nurse is performing an assessment on a patient who will begin taking propranolol (Inderol) to treat hypertension.
The nurse learns that the patients have a history of asthma and diabetes.
The nurse will take which action.
Request an order for a renal function test prior to the administration of this drug.
Teach the patient about the risk of combining herbal medication with this drug.
Contact the doctor to discuss another type of antihypertensive medication.
Administer the medication and monitor the patient’s serum glucose level.
The Correct Answer is C
Choice A rationale
Renal function tests are not specifically required for propranolol administration unless there are existing renal concerns. Propranolol is primarily metabolized by the liver, not the kidneys.
Choice B rationale
While it is important to consider drug interactions, the primary concern with propranolol in this patient is the history of asthma and diabetes, not herbal medication interactions.
Choice C rationale
Propranolol, a non-selective beta-blocker, can exacerbate asthma symptoms and mask hypoglycemia in diabetic patients. Consulting with the doctor to consider a different antihypertensive medication that does not have these risks is a prudent approach.
Choice D rationale
While monitoring serum glucose levels is important, administering propranolol in a patient with a history of asthma and diabetes poses significant risks. An alternative medication should be considered. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Parkinson's disease is characterized by an imbalance of dopamine and acetylcholine, primarily due to the degeneration of dopamine-producing neurons in the substantia nigra. This imbalance results in the characteristic motor symptoms of Parkinson's disease, such as tremors, rigidity, and bradykinesia.
Choice B rationale
Parkinson's disease involves decreased dopamine production, not increased. The disease is caused by the progressive loss of dopamine-producing neurons in the brain, leading to reduced dopamine levels and an imbalance with acetylcholine.
Choice C rationale
Alzheimer's disease is not primarily characterized by a decrease in dopamine. Instead, it involves the degeneration of cholinergic neurons and a deficiency in acetylcholine, which is crucial for memory and cognitive functions.
Choice D rationale
Alzheimer's disease is associated with a deficiency of acetylcholine rather than an excess. The disease is also characterized by the presence of neuritic plaques and neurofibrillary tangles in the brain, which contribute to cognitive decline.
Correct Answer is C
Explanation
Choice A rationale
Atorvastatin (Lipitor) does not decrease sitosterol. It mainly targets serum cholesterol and LDL levels to reduce cardiovascular risks.
Choice B rationale
Atorvastatin does not decrease campesterol. Its primary effect is on serum cholesterol and LDL levels, aiming to lower the risk of heart disease.
Choice C rationale
Atorvastatin effectively decreases serum cholesterol and LDL levels, which are the primary targets for reducing cardiovascular risks in patients with high cholesterol.
Choice D rationale
Atorvastatin lowers both serum cholesterol and LDL levels, not just serum cholesterol, making it effective in reducing overall cardiovascular risk.
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