The nurse is planning care for patients with hypertension. What side effect should be included with teaching about the beta blocker propranolol (Inderal)?

Report a headache immediately.

Heart palpitations are common.

Monitor for bleeding gums.

Rise slowly to prevent dizziness.

Answer and Explanation

The Correct Answer is D

A. Report a headache immediately: Headaches are not a common side effect of propranolol and may not require immediate reporting unless they are severe or unusual in nature.
B. Heart palpitations are common: Beta blockers like propranolol generally help to control heart palpitations and irregular heartbeats rather than cause them.
C. Monitor for bleeding gums: This is not a typical side effect of propranolol. Bleeding gums might be more related to dental issues or other medications.
D. Rise slowly to prevent dizziness: Propranolol can cause orthostatic hypotension, which is a drop in blood pressure upon standing up. Patients should be advised to rise slowly to prevent dizziness or fainting, which is a common side effect of beta blockers.

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Correct Answer is A

Explanation

A. TIA: A transient ischemic attack (TIA) is characterized by temporary symptoms due to a brief period of reduced blood flow to the brain, with no lasting damage.
B. Stroke: A stroke involves a more prolonged interruption of blood flow to the brain and typically results in permanent neurological damage.
C. CVA: Cerebrovascular accident (CVA) is another term for stroke, involving sustained damage.
D. OSAH: This is not a relevant term or acronym for the condition described. It is not related to cerebral circulation impairment.

A. Lying prone as prescribed B. Maintaining residual limb elevation C. Promoting coordination exercises D. Building upper body strength

Correct Answer is D

Explanation

A. Lying prone as prescribed: While lying prone can help prevent hip flexion contractures, it is not directly related to promoting ambulation. It is typically part of post-operative care to prevent contractures in the hip, but ambulation primarily depends on upper body strength and prosthetic training.
B. Maintaining residual limb elevation: Elevation of the residual limb is important immediately postoperatively to reduce swelling, but prolonged elevation can lead to contractures, which can hinder ambulation.
C. Promoting coordination exercises: Coordination is important, but for ambulation, building strength, especially in the upper body, is crucial to support the use of assistive devices and maintaining balance.
D. Building upper body strength: This is essential for promoting ambulation as it helps the patient in using assistive devices like crutches or walkers and in transferring safely. Upper body strength is crucial for balance and mobility with a prosthetic limb.

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The nurse is planning care for patients with hypertension. What side effect should be included with teaching about the beta blocker propranolol (Inderal)?

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Naxlex Comprehensive Predictor Exams

What is the term or acronym for a temporary impairment of cerebral circulation that causes symptoms lasting minutes to hours but results in no permanent neurological changes?

Correct Answer is A

Explanation

The nurse is providing care for a patient after an above-the-knee amputation because of diabetes complications. Which nursing care is essential for promoting ambulation?

Correct Answer is D

Explanation

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