A nurse is interviewing a client who was newly admitted prior to administering medications.
The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma."
For which of the following medications should the nurse withhold the dose and notify the provider?
Propranolol.
Isosorbide mononitrate.
Pantoprazole.
Montelukast.
The Correct Answer is A
The nurse should withhold the dose of propranolol and notify the provider.
Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.
In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.
Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.
Choice C is wrong because there is no known interaction between albuterol and pantoprazole.
Choice D is wrong because there is no known interaction between albuterol and montelukast.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Spironolactone is a potassium-sparing diuretic that can increase potassium levels in the blood.
It is important for clients taking spironolactone to limit their intake of potassium-rich foods to prevent hyperkalemia (high potassium levels).
Choice B is wrong because “I will take the medication on an empty stomach,” is not the correct answer because spironolactone can be taken with or without food.
Choice C is wrong because “I will use salt substitutes in place of table salt,” is not the correct answer because many salt substitutes contain potassium and can increase the risk of hyperkalemia.
Choice D is wrong because “I will double up on my medication if I miss a dose,” is not the correct answer because it is not recommended to double up on medication if a dose is missed.
Correct Answer is ["B","C","D"]
Explanation
These are all risk factors for an adverse drug reaction in older adults.
Decreased renal function is a disease-related factor that can increase the risk of adverse drug reactions.
Multiple health problems or complex comorbidity can also increase the risk of adverse drug reactions.
Polypharmacy is a medication-related factor that can increase the risk of adverse drug reactions.
Choice A is wrong because Decreased percentage of body fat, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.
Choice E, Increased rate of absorption, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.
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