A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Pain level
Temperature
Heart rate
Respiratory rate
The Correct Answer is C
Choice A rationale: Propranolol is not primarily administered to address pain; therefore, assessing pain level is not directly related to its administration.
Choice B rationale: Propranolol administration is not typically associated with temperature changes.
Choice C rationale: Propranolol is a beta-blocker primarily used to reduce heart rate and blood pressure. Assessing the heart rate before administering propranolol is crucial due to its effects on cardiac function.
Choice D rationale: While propranolol might impact respiratory function, assessing heart rate is more directly related to its administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Dissolving the fentanyl buccal film in water isn't the appropriate method of administration. It's specifically formulated for buccal (cheek) administration to facilitate absorption, and dissolving it in water may alter its efficacy.
Choice B rationale: Swallowing the fentanyl buccal film isn't the intended method of administration. It's designed for absorption through the mucous membrane, not for ingestion.
Choice C rationale: Fentanyl buccal film is designed for absorption through the mucous membrane of the cheek. This route allows for rapid absorption of the medication
directly into the bloodstream, offering quicker relief for the patient.
Choice D rationale: Placing the fentanyl buccal film on the tongue for dissolution is not the correct method. The medication is formulated for buccal administration, not oral dissolution.
Correct Answer is D
Explanation
Choice A rationale: TPN cannot be administered subcutaneously due to its composition.
Choice B rationale: Intraosseous access is for emergency situations when IV access isn't attainable.
Choice C rationale: A midline catheter might not be suitable for the hypertonic nature of TPN and can lead to complications.
Choice D rationale: Total parenteral nutrition (TPN) is a hypertonic solution that requires infusion into a large vein. The central venous access device allows for high-flow rates and avoids irritation or damage to smaller peripheral veins.
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