A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?
The beta-blocker can mask the symptoms of hypoglycemia.
Using the two agents together increases the risk of ketoacidosis.
Propranolol increases insulin requirements because of receptor blocking.
The beta-blocker can cause insulin resistance.
The Correct Answer is B
A) While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.
B) Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.
C) Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.
D) Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Taking ibuprofen with meals is a good practice to reduce the risk of stomach upset.
B) Tinnitus is not a typical side effect of ibuprofen, and this statement may indicate a misunderstanding or confusion with another medication.
C) Stopping alcohol consumption is advisable as it can increase the risk of gastrointestinal bleeding when combined with ibuprofen.
D) The dosing information provided is within the typical recommended range for ibuprofen, and the statement is accurate.
Correct Answer is B
Explanation
A) Alcohol use, even before the client knew she was pregnant, may have some impact, but it is not the primary concern immediately after delivery.
B) Intravenous morphine administration during labor can lead to respiratory depression in the newborn, and monitoring is crucial. Naloxone may be needed to reverse opioid effects.
C) A high-pitched cry and irritability may be signs of opioid withdrawal, not related to the alcohol use.
D) Administering opioids to the infant is not appropriate and could worsen any respiratory depression.
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