A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?

Depression

Glaucoma

Migraine

Heart failure

Answer and Explanation

The Correct Answer is D

A. Depression: While propranolol can sometimes worsen symptoms of depression, this is not as critical as the impact on conditions like heart failure.

B. Glaucoma: Propranolol does not typically affect glaucoma; however, some beta-blockers are used to treat glaucoma.

C. Migraine: Propranolol is sometimes used to prevent migraines, so a history of migraines would not require discontinuation.

D. Heart failure: Propranolol can exacerbate heart failure by reducing myocardial contractility. Clients with heart failure require careful monitoring or an alternative medication.

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Correct Answer is D

Explanation

A. Creatinine phosphokinase (CPK): CPK levels peak within 24 hours after an MI and return to normal within 2-3 days.

B. Myoglobin: Myoglobin rises within hours but returns to normal within 24 hours after MI.

C. Creatinine kinase-MB (CK-MB): CK-MB peaks 12-24 hours post-MI and returns to baseline within 2-3 days.

D. Troponin T: Troponin T remains elevated for up to 10-14 days after an MI, providing long-term evidence of myocardial injury.

A. Fatigue B. Rapid pulse C. Increased urine output D. Sneezing

Correct Answer is B

Explanation

A. Fatigue. Fatigue can be a common symptom of various health conditions, including heart disease, and is not specific to pacemaker malfunction.

B. Rapid pulse. A rapid pulse or palpitations may signal a malfunction where the pacemaker is pacing too quickly or erratically.

C. Increased urine output. Increased urine output is not related to pacemaker function and does not indicate a malfunction.

D. Sneezing. Sneezing is unrelated to pacemaker malfunction and does not warrant provider notification.

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A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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