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 C
Explanation
A. The CDC is involved in public health and disease control but does not regulate controlled substances.
B. HIPAA pertains to the privacy and security of health information, not drug regulation.
C. The Controlled Substances Act (CSA) regulates the scheduling and control of substances that have the potential for abuse and dependency, including drugs in Schedules I through V.
D. The FDA oversees the approval and regulation of medications but does not regulate controlled substances specifically by scheduling.
Correct Answer is D
Explanation
A. Nicotine cravings or withdrawal are expected and do not require immediate notification of the provider.
B. Headache and nausea are common side effects but do not require immediate notification unless severe.
C. Dry mouth or constipation can be side effects but are not typically urgent concerns.
D. Varenicline has been associated with serious neuropsychiatric effects, including mood swings, depression, and suicidal ideation. These symptoms require immediate medical attention.
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