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","D","E"]
Explanation
Choice A rationale
Analyzing data collected is part of the assessment phase, not the intervention phase.
Choice B rationale
Collecting a nursing history is part of the assessment phase of the nursing process, not the intervention phase.
Choice C rationale
Determining medication effectiveness is a critical aspect of the intervention phase, as it assesses the therapeutic outcomes of the administered drugs.
Choice D rationale
Documenting the medication is a key action in the intervention phase to ensure accurate and up-to-date patient records and safe administration.
Choice E rationale
Administering the medication is a direct intervention related to drug therapy and is part of the intervention phase.
Correct Answer is C
Explanation
Choice A rationale
Working with animals is typically done in preclinical trials before phase I studies in humans and is not part of phase III drug evaluation studies.
Choice B rationale
Conducting research to determine the effectiveness of the drug is part of phase II studies. Phase III studies focus more on confirming effectiveness, monitoring side effects, and comparing it to commonly used treatments.
Choice C rationale
Monitoring and observing patients closely for adverse effects is a key responsibility in phase III drug evaluation studies. These studies involve a larger patient population to gather comprehensive safety and efficacy data.
Choice D rationale
Choosing appropriate patients to be involved in the study is primarily the responsibility of researchers and clinicians during the earlier phases of drug development, such as phase I and phase II studies.
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