A nurse is preparing to administer propranolol to a client.
Which of the following should the nurse assess prior to administering this medication?

Heart rate.

Respiratory rate.

Temperature.

Pain level.

Answer and Explanation

The Correct Answer is A

Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.

It works by slowing down the heart rate and reducing the force of heart muscle contraction.

Therefore, it is important for the nurse to assess the client’s heart rate prior to administering this medication to ensure that it is within a safe range.

Choice B is wrong because respiratory rate is not directly affected by propranolol.

Choice C is wrong because temperature is not directly affected by propranolol.

Choice D is wrong because pain level is not directly affected by propranolol.

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Correct Answer is C

Explanation

A. Assist the client to a left lateral position.
- This is generally used for clients at risk of aspiration, and it's not indicated based on the lithium level.
B. Implement fluid restrictions.
- Fluid restrictions are usually implemented when there is a risk of fluid overload or hyponatremia, and not in this case. In fact, dehydration can raise lithium levels to toxic levels, so proper hydration is important.
C. Request a dosage increase from the provider.
- While 0.6 mEq/L is within the therapeutic range, some providers may want to see a level slightly higher for maintenance. So requesting a dosage increase from the provider is the correct action.
D. Prepare the client for hemodialysis.
- Hemodialysis is used to remove lithium from the blood in cases of severe lithium toxicity, which is indicated by levels significantly higher than 1.5 mEq/L. This is not needed when the lithium level is 0.6 mEq/L.

A. "I am taking a laxative for constipation” B. "I have noticed I'm not as cold as I use to be” C. "I am losing weight without dieting” D. "I seem to be sleeping more than usual”

Correct Answer is B

Explanation

Levothyroxine is a thyroid hormone medicine used to treat hypothyroidism (low thyroid hormone)1.

It works by replacing thyroid hormone that is normally produced by the body.

Cold intolerance is a common symptom of hypothyroidism2, so if the client reports that they are not as cold as they used to be, it indicates that the medication is working and their hormone levels are returning to a healthy range.

Choice A is wrong because constipation is a common symptom of hypothyroidism2, so taking a laxative for constipation does not indicate a therapeutic response to the medication.

Choice C is wrong because weight loss without dieting can be a side effect of taking too much levothyroxine.

Choice D is wrong because sleeping more than usual can be a symptom of hypothyroidism2, so it does not indicate a therapeutic response to the medication.

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A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is.6 mEq/L. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication?

Correct Answer is B

Explanation

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A nurse is preparing to administer propranolol to a client.
Which of the following should the nurse assess prior to administering this medication?