A nurse is reviewing the medical record of a client who has hypertension and a new prescription for propranolol. Which of the following findings should the nurse identify as a contraindication for taking propranolol?
Glaucoma
Irritable bowel syndrome
Asthma
Migraine headaches
The Correct Answer is C
The correct answer is choice C. Asthma.
Choice A rationale:
Glaucoma is not a contraindication for propranolol. Beta-blockers like propranolol can actually be used to manage glaucoma by reducing intraocular pressure.
Choice B rationale:
Irritable bowel syndrome (IBS) is not a contraindication for propranolol. There is no direct interaction between propranolol and IBS that would prevent its use.
Choice C rationale:
Asthma is a contraindication for propranolol. Propranolol is a non-selective beta-blocker, which means it can block beta-2 receptors in the lungs, leading to bronchoconstriction and potentially severe asthma exacerbations.
Choice D rationale:
Migraine headaches are not a contraindication for propranolol. In fact, propranolol is often prescribed as a preventive treatment for migraines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Elevate the head of the client's bed for 1 hr after the feeding. This is because elevating the head of the client's bed to at least 30 degrees can help prevent aspiration and gastric reflux.
Choice B is incorrect because administering the feeding solution at a cold temperature can cause discomfort and diarrhea.
Choice C is incorrect because rotating the jejunostomy tube once per day can cause irritation and trauma to the stoma site.
Choice D is incorrect because flushing the tube with 90 mL of sterile water before and after the feeding is not necessary as long as the tube is adequately flushed before and after each feeding.
The explanation for why the other choices are not answered: B – Administering the feeding solution at a cold temperature can cause discomfort and diarrhea, so it should not be done. C – Rotating the jejunostomy tube once per day can cause irritation and trauma to the stoma site, so this is not the correct action. D – Flushing the tube with 90 mL of sterile water before and after the feeding is unnecessary to do as long as the tube is adequately flushed before and after each feeding. Thus, this is not the correct answer.
Correct Answer is C
Explanation
The correct answer is choice C. The client's lactose intolerance places her at an increased risk for osteoporosis, as dairy products are a rich source of calcium and vitamin D, which are important for bone health. Walking daily and gardening may actually help to reduce the risk of osteoporosis, as physical activity can help to strengthen bones. Drinking red wine in moderation may provide some benefits for cardiovascular health and may not necessarily increase the risk of osteoporosis.
Reason why each of the other choices are not answers:
A is not correct because walking daily can help to improve bone health and reduce the risk of osteoporosis.
B is not correct because gardening can also provide physical activity and help to reduce the risk of osteoporosis.
D is not correct because propranolol does not typically cause increased hair growth, and requesting a dosage increase based on apical heart rate may not be necessary for all clients taking this medication.
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