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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale: A lithium level of 2.6 mEq/L is significantly elevated and poses a risk of lithium toxicity. Hemodialysis is the most effective intervention to rapidly lower the lithium level in severe cases of toxicity.
Choice B rationale: Left lateral positioning is not the priority in this situation; immediate intervention to lower the lithium level is necessary.
Choice C rationale: Fluid restrictions alone might not rapidly lower the elevated lithium level in severe toxicity.
Choice D rationale: Given the elevated level, increasing the dosage would exacerbate toxicity and is inappropriate.

A. "I should avoid dairy products when taking this medication." B. "I should not take an antacid within 1 hour of taking this medication." C. "I can take two aspirin to treat headaches." D. "I can expect fine hand tremors when taking this medication."

Correct Answer is B

Explanation

Choice A rationale: There's no direct contraindication regarding dairy products with ranitidine.
Choice B rationale: Ranitidine, an H2 blocker, requires spacing from antacids to prevent decreased absorption, as antacids can reduce its effectiveness.
Choice C rationale: Aspirin may have interactions or adverse effects when taken concurrently with ranitidine.
Choice D rationale: Fine hand tremors are not an expected side effect of ranitidine.

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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 2.6 mEq/L. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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