A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?
Heart rate of 56/min
Sa02 95% on 2 L/min of oxygen
Respirations 22/min
Blood pressure 106/68 mm Hg
The Correct Answer is A
Propranolol is a beta-blocker agent that is used to block beta adrenoceptors on blood vessels that leads to lower the heart rate. It used in clients with hypertension and heart failure. However, a heart rate below 60/min is alarming as the client is likely to develop symptoms of reduced perfusion such as fatigue
Spo2 of 95% and a respiratory rate of 22 are okay and not related to propranolol unless the client is asthmatic
D-A blood pressure of 106/68 is normal and requires no intervention
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Neuroleptic Malignant Syndrome (NMS) is a serious condition often associated with the administration of antipsychotic medications. Bromocriptine is a dopamine agonist used to D2 receptor blockade implicated in NMS. It improves the transmission of impulses in the dopaminergic neurons.
A-Benztropine is used in management of extrapyramidal effects of antipsychotics B-Naloxone is an opioid antagonist
D-Diphenhydramine is an antihistamine used in mild allergic reactions
Correct Answer is A
Explanation
The air bubble should not be expelled from the syringe or aspirate. The air bubble in the syringe of enoxaparin is intended to remain to ensure the full dose of medication is administered.
B-Avoid rubbing a sit may increase the risk of bleeding /irritation
C-The injection is made into the anterolateral or posterolateral aspect of the thigh
D-The skin should not be released before injection as the medication may be injected into the muscle
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