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

Answer and Explanation

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

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Correct Answer is B

Explanation

Consulting a reference guide provides information on all potential interactions that may apply for the medication guide. It allows the nurse to give specific and accurate information regarding the drug at hand without generalization.

A- This does not apply to all medications

C-Asking a colleague may not be accurate

D- The clients records may not contain all the relevant information needed

A. The client will administer insulin glargine before each meal. B. The client will use the deltoid muscle as an injection site. C. The client will take an additional dose of insulin glargine prior to exercise. D. The client will wear his reading glasses when drawing up a dose of insulin glargine.

Correct Answer is D

Explanation

Use of glasses in visual problems in the elderly avoid errors such as overdose. The use of insulin requires accurate visualization because overdosing the medication may lower the blood sugar levels too low leading to severe neuroglycopenic features or even death.

A- Long acting insulins like glargine are used as a basal insulin given once a day

B- The subcutaneous tissue is preferred

C- Insulin glargine is not added before exercise

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A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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