A nurse caring for a client who has hypertension is asked about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Asthma

Glaucoma

Depression

Migraines

Answer and Explanation

The Correct Answer is A

Choice A reason: Propranolol is contraindicated in patients with asthma as it may cause bronchoconstriction, exacerbating respiratory difficulties.

Choice B reason: Glaucoma is not a contraindication for propranolol; in fact, betablockers can be used to treat glaucoma by reducing intraocular pressure.

Choice C reason: Depression is not a direct contraindication, but caution is advised as propranolol can sometimes worsen symptoms of depression.

Choice D reason: Propranolol is often used as a preventive treatment for migraines and is not contraindicated in patients with this condition.

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Correct Answer is B

Explanation

Choice A reason: This choice is incorrect because an oral cholangiogram does not involve putting a camera down the throat. That procedure is more akin to an endoscopy.

Choice B reason: This statement is correct. An oral cholangiogram involves taking an Xray examination of the gallbladder after the patient has taken an iodine based contrast agent orally. The procedure is used to diagnose problems related to the gallbladder, such as gallstones or issues with bile flow.

Choice C reason: This choice is incorrect because an oral cholangiogram does not involve putting medication into the gallbladder to dissolve stones. That description is more consistent with nonsurgical treatments for gallstones, such as oral bile acid pills.

Choice D reason: This choice is incorrect as it describes a different procedure known as extracorporeal shock wave lithotripsy (ESWL), which uses shock waves to break up gallstones.

A. Defibrillation B. CPR C. Elective cardioversion D. Radiofrequency catheter ablation

Correct Answer is A

Explanation

Choice A reason: Defibrillation is used in the case of life-threatening cardiac rhythms, such as ventricular fibrillation or pulseless ventricular tachycardia. It is not the first line of treatment for a stable patient with VT.

Choice B reason: CPR is initiated when a patient is unresponsive and not breathing or not breathing normally, indicating cardiac arrest. It is not indicated for a patient who is stable and experiencing VT.

Choice C reason: Elective cardioversion is a procedure where an electrical shock is delivered to the heart to convert an abnormal rhythm back to a normal sinus rhythm. It is typically used for rhythms such as atrial fibrillation or atrial flutter, not first line for VT.

Choice D reason: Radiofrequency catheter ablation is a procedure that uses radiofrequency energy to destroy a small area of heart tissue that is causing rapid and irregular heartbeats. In the case of VT, this procedure is used to target the area causing the abnormal rhythm and is a common treatment for recurrent VT.

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A nurse caring for a client who has hypertension is asked about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse an understanding of the procedure?

Correct Answer is B

Explanation

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). Which of the following actions should the nurse anticipate needing to take?

Correct Answer is A

Explanation

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