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
Oral morphine typically reaches peak activity at around 45 minutes after administration. This allows time for the medication to be absorbed through the gastrointestinal tract and enter the bloodstream to provide pain relief.
Choice B rationale
10 minutes is too short for oral morphine to reach peak activity. This timeframe is more consistent with intravenous administration, which allows for rapid onset of action.
Choice C rationale
30 minutes is a bit too short for oral morphine to reach peak effect, although some patients may start to feel relief. However, peak plasma concentrations generally occur closer to 45-60 minutes.
Choice D rationale
While morphine can continue to have effects up to 60 minutes and beyond, the peak activity is typically observed around the 45-minute mark. Waiting for 60 minutes may underestimate the peak timeframe.
Correct Answer is D
Explanation
Choice A rationale
The half-life of a drug refers to the time it takes for the plasma concentration of a drug to reduce by half. It is not a primary consideration when substituting generic drugs for brand-name drugs.
Choice B rationale
Critical concentration is the amount of a drug needed to achieve therapeutic effects. While important, it is not the main factor in generic substitution.
Choice C rationale
Distribution describes how a drug is dispersed throughout the body's tissues and fluids. This factor is crucial for drug efficacy but not directly related to substituting generic drugs.
Choice D rationale
Bioavailability is the degree and rate at which an active drug ingredient is absorbed and becomes available at the site of action. Generic drugs must have the same bioavailability as brand-name drugs to ensure they are just as effective.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.