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 A
Explanation
A. Zolpidem [Ambien] is a medication specifically used for short-term management of insomnia by helping with sleep initiation.
B. Fluoxetine [Prozac] is an SSRI used primarily for depression and anxiety, not for short-term sleep issues.
C. Morphine is an opioid analgesic, not indicated for sleep management and could exacerbate insomnia or cause additional issues.
D. Aspirin is used for pain relief and anti-inflammatory purposes, not for managing sleep difficulties.
Correct Answer is D
Explanation
A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.
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