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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Gentamicin can harm your kidneys.
An elevated creatinine level can be a sign of kidney damage.
The nurse should report this finding to the provider immediately.
Choice A is wrong because Fasting blood glucose 130 mg/dL, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Choice B is wrong because WBC 11,000/mm3, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Choice C is wrong because Potassium 4.5 mEq/L, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Correct Answer is D
Explanation
Improved cognition should indicate to the nurse that the treatment with a hypertonic solution for hyponatremia is effective.
Hyponatremia can cause confusion and other neurological symptoms, so an improvement in cognition would suggest that the treatment is working to correct the electrolyte imbalance.
Choice A is wrong because Chvostek’s sign is a clinical sign of hypocalcemia, not hyponatremia.
Choice B is wrong because while vomiting can be a symptom of hyponatremia, a decrease in vomiting alone does not necessarily indicate that the treatment is effective.
Choice C is wrong because while hyponatremia can cause cardiac arrhythmias, the absence of arrhythmias alone does not necessarily indicate that the treatment is effective.
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