A nurse is collecting data from a client who is taking propranolol. The nurse should monitor the client for which of the following adverse effects?
Bradycardia
Hypertension
Tinnitus
Urinary hesitancy
The Correct Answer is A
A. Bradycardia: Propranolol is a nonselective beta-adrenergic blocker that inhibits both β1 and β2 receptors. Blockade of β1 receptors in the sinoatrial and atrioventricular nodes decreases heart rate and conduction velocity. Excessive beta blockade can result in clinically significant bradycardia, hypotension, and reduced cardiac output, requiring monitoring of pulse and BP.
B. Hypertension: Propranolol lowers blood pressure by decreasing cardiac output and suppressing renin release from the kidneys. Its pharmacologic action is antihypertensive rather than hypertensive. Elevated blood pressure would not be expected as a direct adverse effect of appropriate beta-blocker therapy.
C. Tinnitus: Tinnitus is more commonly associated with medications such as salicylates, loop diuretics, or certain antibiotics. Propranolol does not typically affect the auditory system or cochlear blood flow in a way that produces ringing in the ears.
D. Urinary hesitancy: Urinary hesitancy is often linked to anticholinergic medications or conditions such as benign prostatic hyperplasia. Propranolol does not have significant anticholinergic effects and does not commonly interfere with bladder detrusor muscle contraction or urinary flow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hgb 12 g/dL: Hemoglobin at 12 g/dL is within the expected range for a healthy pregnant client in the third trimester. Normal pregnancy ranges typically decrease slightly due to hemodilution, and this value does not indicate a need for provider notification.
B. Platelet count 90,000/mm³: A platelet count below 100,000/mm³ (thrombocytopenia) is concerning during pregnancy and may indicate gestational thrombocytopenia, preeclampsia, or other hematologic disorders. This finding requires prompt provider notification for evaluation and potential intervention.
C. Hematocrit 37%: Hematocrit of 37% falls within normal limits for a pregnant client and does not indicate anemia or other abnormal findings. Routine monitoring is sufficient.
D. Creatinine 0.7 mg/dL: Creatinine is within the expected range for pregnancy, which is typically slightly lower than in nonpregnant adults due to increased renal clearance. This result does not warrant urgent provider notification.
Correct Answer is D
Explanation
A. "I will cleanse the stoma site gently with an antiseptic solution.": The stoma and surrounding skin should be cleaned with warm water and mild, non-irritating soap if needed. Antiseptic solutions can irritate the skin and damage the stoma, so this is not recommended.
B. "I will contact my doctor right away if my stoma is red.": Mild redness around the stoma can be normal due to friction or recent appliance changes. Immediate contact is warranted only if there are additional signs of infection, severe irritation, or unusual bleeding. Routine redness alone is not necessarily a cause for urgent concern.
C. "I will cut the wafer opening 1 inch bigger than my stoma.": The appliance opening should closely fit the stoma, typically allowing a 1/8 to 1/4 inch clearance. Cutting the wafer 1 inch larger would leave skin exposed to effluent, increasing the risk of irritation, breakdown, and leakage.
D. "I will empty the colostomy bag when it is one-half full.": Emptying the colostomy bag when it is about one-half to two-thirds full helps prevent leakage and reduces the weight on the appliance, which supports skin integrity and ensures proper functioning. This statement reflects correct understanding of colostomy care.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.