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 ["0.6"]

Explanation

Calculation: 1 mg/kg dose x 121 lb (weight) = 55 kg (approximately) 55 kg x 1 mg = 55 mg (dose required) Enoxaparin 60 mg/0.6 mL = 100 mg/mL Therefore, 55 mg / 100 mg/mL =

0.55 mL (rounded to 0.6 mL).

A. Potassium chloride 10 mEq/hr B. Bicarbonate by IV infusion C. Subcutaneous insulin injections D. 0.9% sodium chloride 15 mL/kg/hr

Correct Answer is D

Explanation

Choice A rationale: While potassium replacement is important in diabetic ketoacidosis, fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice B rationale: Bicarbonate infusion might be considered in severe acidosis, but fluid administration is the priority.
Choice C rationale: The priority intervention for a client with diabetic ketoacidosis and very high blood glucose levels is to initiate fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice D rationale: The first intervention the nurse should initiate is fluid resuscitation with 0.9% sodium chloride at a rate of 15 mL/kg/hr to restore intravascular volume, improve renal perfusion, and flush out ketones.

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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

Correct Answer is ["0.6"]

Explanation

A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?

Correct Answer is D

Explanation

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