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 D
Explanation
Choice A rationale: Metronidazole is not a beta-lactam antibiotic and does not typically cause cross-reactivity in individuals with penicillin allergies.
Choice B rationale: Clarithromycin is a macrolide antibiotic and is not associated with cross-reactivity in penicillin-allergic individuals.
Choice C rationale: Vancomycin is not a beta-lactam antibiotic and does not typically cause cross-reactivity in individuals with penicillin allergies.
Choice D rationale: Ceftriaxone belongs to the beta-lactam antibiotic class, which includes penicillins, and can potentially cause cross-reactivity in individuals with a history of anaphylactic reactions to penicillin.
Correct Answer is B
Explanation
A. Taking ferrous gluconate with milk is not advised because calcium in milk can interfere with the absorption of iron. The client should avoid taking iron supplements with calcium-containing products.
B. Staying upright for at least 15 minutes after taking ferrous gluconate can help prevent esophageal irritation or discomfort. This instruction is crucial for iron supplements, as lying down immediately after ingestion can cause reflux or esophagitis.
C. Taking an antacid with ferrous gluconate can reduce its absorption. The client should be advised to avoid taking antacids, calcium supplements, or certain medications close to the time of iron intake.
D. Black stools are a common and harmless side effect of iron supplementation. The client should be informed that this is expected and not a reason to notify the provider unless there are additional concerning symptoms, such as abdominal pain or constipation.
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