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 A
Explanation
A-Injection of air ensures that the accurate dose is withdrawn into the syringe
B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.
C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.
D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.
Correct Answer is D
Explanation
The provider should be consulted as other oral alternative exist. It is important for the nurse to understand his or her role as a client’s advocate. In this, role, she should acknowledge the client’s concerns and address the issues without coercing or threatening the client.
A- This does not respect client’s autonomy
B- This statement is inappropriate as the nurse should not use threats to induce fear
C- This statement fails to appreciate the client’s concerns
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