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 B
Explanation
Compare the current and newly prescribed medications and note any discrepancies.
During medication reconciliation, the nurse should compare the client’s current medication orders with the medications that the client has been taking and note any discrepancies.
Choice A is wrong because Reviewing the adverse effects of the medication with the client, is not part of medication reconciliation.
Choice C is wrong because Sending a list of the prescribed medications to the client’s pharmacy, is not part of medication reconciliation.
Choice D is wrong because Including the medications the client received during surgery on the client’s medication list, is not part of medication reconciliation.
Correct Answer is B
Explanation
When administering heparin subcutaneously, the nurse should grasp the skin between the thumb and forefinger throughout the injection to minimize bleeding following the injection.
Choice A is wrong because Use the Z-track method to administer the medication, is not the correct answer because the Z-track method is a technique used for intramuscular injections, not subcutaneous injections.
Choice C is wrong because Aspirate the syringe prior to injecting the heparin, is not the correct answer because aspiration is not necessary when administering heparin subcutaneously.
Choice D is wrong because Gently massage the site following the injection, is not the correct answer because massaging the injection site can increase the risk of bruising and bleeding.
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