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 A
Explanation
Choice A rationale: Citalopram is a selective serotonin reuptake inhibitor (SSRI) that increases the level of serotonin in the brain. Serotonin syndrome is a rare but serious adverse effect of SSRIs that can cause confusion, agitation, tremors, seizures, and coma. The nurse should report this finding to the provider immediately, as it can be life-threatening.
Choice B rationale: Insomnia can occur as an adverse effect of citalopram but might not be as immediately concerning as confusion.
Choice C rationale: Bruxism (teeth grinding) can be a side effect of citalopram but might not pose an immediate risk compared to confusion.
Choice D rationale: Weight loss, while a potential side effect, might not be as urgent or immediately concerning as confusion.
Correct Answer is ["3"]
Explanation
Adolescent weight = 88 lb, 1 kg = 2.2 lb (to convert lb to kg), 88 lb / 2.2 = 40 kg (approx.), 150 mg/kg dose x 40 kg = 6000 mg, Available dose = 500 mg/tab, 6000 mg / 500 mg/tab
= 12 tabs per day, divided equally every 6 hrs
= 12 tabs / 4 doses
= 3 tabs per dose.
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