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 C
Explanation
Choice A rationale
Aleve (naproxen) is not recommended for children under 12 years old due to the risk of side effects such as gastrointestinal bleeding and kidney issues.
Choice B rationale
Motrin (ibuprofen) is commonly used for pain and inflammation in children but is not the best option for mild pain like that caused by an elbow injury.
Choice C rationale
Acetaminophen (Tylenol) is recommended for children experiencing mild to moderate pain, such as elbow pain, due to its safety profile and effectiveness.
Choice D rationale
Aspirin is not recommended for children due to the risk of Reye's syndrome, a rare but serious condition that can cause swelling in the liver and brain.
Correct Answer is D
Explanation
Choice A rationale
While a complete blood count (CBC) is an essential lab value for monitoring many conditions and potential side effects, it is not the primary concern when administering high doses of azithromycin, especially with co-administration of acetaminophen. The focus should be on liver function.
Choice B rationale
Urinalysis is useful in diagnosing and monitoring various conditions but is not directly relevant to monitoring the side effects of azithromycin and acetaminophen. These medications do not typically cause urinary abnormalities that would necessitate frequent urinalysis.
Choice C rationale
Electrolytes are not directly affected by azithromycin and acetaminophen use. Although monitoring electrolytes can be essential in broader contexts, these specific medications do not primarily impact electrolyte balance requiring focused monitoring.
Choice D rationale
Liver enzymes are the key lab values to monitor when administering high doses of azithromycin and acetaminophen. Both medications are metabolized by the liver and can cause hepatotoxicity. Monitoring liver enzymes helps in detecting early signs of liver damage and preventing further complications.
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