A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons.
The nurse should assess the client for which of the following findings?
Bradypnea.
Hyperkalemia.
Tachycardia.
Rhinitis.
The Correct Answer is C
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
Abrupt discontinuation of propranolol can result in a variety of adverse reactions, including tachycardia (increased heart rate).
Choice A is wrong because bradypnea (abnormally slow breathing) is not a known withdrawal symptom of propranolol.
Choice B is wrong because hyperkalemia (high potassium levels) is not a known withdrawal symptom of propranolol.
Choice D is wrong because rhinitis (inflammation of the nasal mucous membrane) is not a known withdrawal symptom of propranolol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. Increased pulse rate.
An aPTT of 90 seconds is much higher than the normal range of 30-40 seconds, which means the blood takes longer to clot and the client is at risk of bleeding. An increased pulse rate is a sign of blood loss and shock.
Choice B is wrong because increased blood pressure is not a sign of bleeding, but rather a sign of hypertension or stress.
Choice C is wrong because decreased temperature is not a sign of bleeding, but rather a sign of hypothermia or infection.
Choice D is wrong because decreased respiratory rate is not a sign of bleeding, but rather a sign of respiratory depression or sedation.
Correct Answer is A
Explanation
The nurse should administer the medication over 2 hr because amphotericin B lipid complex should be infused slowly intravenously.
Choice B is wrong because priming the tubing with 0.9% sodium chloride is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
Choice C is wrong because discarding the medication if it is yellow is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
Choice D is wrong because a gravity flow set is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
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