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 D
Explanation
Choice A rationale
The Drug Enforcement Agency (DEA) primarily focuses on the enforcement of controlled substances laws and regulations, not the approval and testing of medications.
Choice B rationale
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accredits and certifies healthcare organizations and programs, but it does not control medication testing.
Choice C rationale
The Centers for Disease Control and Prevention (CDC) focuses on public health and disease prevention, not the scientific testing of medications.
Choice D rationale
The Food and Drug Administration (FDA) is responsible for protecting public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medical devices through rigorous scientific testing. .
Correct Answer is B
Explanation
Choice A rationale
While the increase in the number of drug addicts has led to stricter regulations, this is not the primary reason for the difficulty in obtaining narcotic prescriptions.
Choice B rationale
Controlled substances like narcotics are regulated by the FDA and the DEA to prevent misuse and ensure they are prescribed and dispensed safely and appropriately.
Choice C rationale
The Centers for Disease Control and Prevention (CDC) does not regulate controlled substances; they focus on public health issues and disease prevention.
Choice D rationale
The Drug Enforcement Agency (DEA) does determine the risk for addiction, but it is the FDA that enforces regulations related to controlled substances. .
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