A nurse is reviewing the medical history of a client who has a prescription for atenolol 40 mg daily. The nurse knows which of the following findings is a contraindication to the new medication?

The client has a history of migraine headaches.

The client has a history of bronchial asthma.

The client has a history of hypothyroidism.

The client has a history of hypertension.

Answer and Explanation

The Correct Answer is B

Rationale:

A. A history of migraine headaches is not a contraindication to atenolol use.

B. Atenolol is a beta-blocker, and its use is contraindicated in clients with bronchial asthma or a history of severe bronchospastic disease due to the risk of exacerbating bronchospasm.

C. A history of hypothyroidism is not a contraindication to atenolol use.

D. A history of hypertension is an indication for atenolol use, not a contraindication.

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Correct Answer is B

Explanation

Rationale:

A. Avoidance of caffeine is not specifically indicated for peripheral arterial disease. While caffeine can temporarily constrict blood vessels, it is not a primary treatment for this condition.

B. Compression stockings can improve blood flow in peripheral arterial disease by providing external pressure to the legs, helping to reduce swelling and improve circulation.

C. Cold compresses may provide temporary relief for pain associated with peripheral arterial disease, but they are not a primary treatment and do not address the underlying circulation issues.

D. Elevating the legs above the heart can sometimes be helpful for improving circulation, but it is not a practical or sustainable treatment for peripheral arterial disease.

A. Your heart rate may be lower after starting this medication. B. Report any dark urine after starting the medication. C. Your stool may be black after starting the medication. D. Report any dizziness when standing after starting the medication.

Correct Answer is B

Explanation

Rationale:

A. Simvastatin is not typically associated with lowering heart rate as a side effect. This statement is incorrect.

B. Rhabdomyolysis, a severe side effect of statin medications like simvastatin, can cause dark urine due to the presence of myoglobin from muscle breakdown. Therefore, it is important for the client to report any dark urine to their healthcare provider.

C. Black stool is not a common side effect of simvastatin. This statement is incorrect.

D. Dizziness when standing is not a common side effect of simvastatin. This statement is incorrect.

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A nurse is reviewing the medical history of a client who has a prescription for atenolol 40 mg daily. The nurse knows which of the following findings is a contraindication to the new medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of peripheral arterial disease and requires education on treatment. Which of the following statements should the nurse utilize for the teaching?

Correct Answer is B

Explanation

A nurse is providing teaching about the adverse effects of simvastatin to a client who will begin taking the medication daily. Which of the following statements should the nurse include in the education?

Correct Answer is B

Explanation

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