A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.
Which historical finding should the nurse report to the provider?

The patient has a history of migraine headaches.

The patient has a history of hypothyroidism.

The patient has a history of hypertension.

The patient has a history of bronchial asthma.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Propranolol is sometimes used to prevent migraines, so a history of migraines would not typically be a contraindication.

Choice B rationale

Hypothyroidism is not typically a contraindication for propranolol. However, propranolol can affect the metabolism of thyroid hormones and may mask signs of hyperthyroidism.

Choice C rationale

Propranolol is often used to treat hypertension, so a history of hypertension would not typically be a contraindication.

Choice D rationale

Propranolol is a non-selective beta-blocker, which means it blocks beta receptors in both the heart and the lungs. This can potentially cause bronchoconstriction and exacerbate asthma symptoms, so it should be used with caution in patients with a history of bronchial asthma.

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Correct Answer is C

Explanation

Choice A rationale

While formula feeding is not contraindicated in infants with gastroesophageal reflux (GER), it is not necessary to switch from breast milk to formula. Both breast milk and formula can be used in infants with GER56.

Choice B rationale

Positioning the baby on their side during sleep is not recommended. This position does not help with GER and can increase the risk of sudden infant death syndrome.

Choice C rationale

Keeping the baby in an upright position after feedings can help reduce the symptoms of GER. Gravity helps keep the stomach contents down and prevents them from flowing back into the esophagus.

Choice D rationale

Thickening the baby’s formula with oatmeal is sometimes recommended for infants with GER. However, this should only be done under the guidance of a healthcare provider.

A. Relieves pain. B. Slows intestinal motility. C. Dissolves blood clots. D. Prevents dysrhythmias.

Correct Answer is D

Explanation

Choice A rationale

Lidocaine does not primarily serve to relieve pain when administered intravenously. It is primarily used as an antiarrhythmic agent.

Choice B rationale

Lidocaine does not slow intestinal motility. This is not one of its primary actions.

Choice C rationale

Lidocaine does not dissolve blood clots. It is not an anticoagulant.

Choice D rationale

Lidocaine prevents dysrhythmias. It is an antidysrhythmic medication that delays the conduction in the heart and reduces the automaticity of heart tissue.

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A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.Which historical finding should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a parent of an infant diagnosed with gastroesophageal reflux. Which statement from the parent shows they have understood the teaching?

Correct Answer is C

Explanation

A nurse in a coronary care unit is admitting a patient who has had CPR following a cardiac arrest. The patient is receiving lidocaine IV at 2 mg/min.When the patient asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?

Correct Answer is D

Explanation

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A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.
Which historical finding should the nurse report to the provider?