The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?
Angina
Tachycardia
Asthma
Gout
The Correct Answer is C
A. Propranolol can be used to manage angina, as it decreases heart rate and myocardial oxygen demand.
B. Propranolol is often used to treat tachycardia by slowing the heart rate.
C. Beta blockers like propranolol can cause bronchoconstriction, making them contraindicated in patients with asthma due to the risk of exacerbating respiratory issues.
D. Gout is not a contraindication for propranolol use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hyperglycemia typically does not cause blurry vision and yellow/green halos.
B. Captopril (Capoten) is an ACE inhibitor and is not associated with visual disturbances like halos.
C. Verapamil (Calan) is a calcium channel blocker and does not typically cause visual symptoms such as halos.
D. Digoxin (Lanoxin) toxicity can lead to visual disturbances, including blurry vision and seeing yellow/green halos, which are classic signs of toxicity.
Correct Answer is A
Explanation
A. Diluting liquid iron preparations with juice or water and using a straw can help prevent staining of the teeth and improve absorption.
B. Dairy products can inhibit iron absorption, so they should be avoided when taking iron supplements.
C. Green or black stools are a common side effect of iron supplements and do not typically require notifying the provider unless there are additional concerns.
D. Citrus juices, such as orange juice, can actually enhance iron absorption and are often recommended to be taken with iron supplements.
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