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","C","D"]
Explanation
When self-administering enoxaparin, the client should “Insert the entire length of the needle into the skin during injection” 1, “Grasp the skin between the thumb and forefinger while injecting the medication” , and “Alternate injection sites between the sides of the abdomen”
Choice B is wrong because the client should not massage the insertion site after injecting the medication.
Choice E is incorrect because the client should not expel the air bubble from the prefilled syringe.
The air bubble helps to ensure that all of the medication is injected and prevents leakage from the injection site.
Correct Answer is A
Explanation

Expired medications should not be used and should be disposed of properly. The best way to do this is to return them to the pharmacy for proper disposal.
Choice B is wrong because flushing medications down the toilet can contaminate the water supply and harm the environment.
Choice C is wrong because expired medications should not be placed back in the medication cart as they may accidentally be used.
Choice D is wrong because notifying the provider about expired medications is not necessary as it is the responsibility of the nurse to properly dispose of them.
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