A nurse is reviewing the medical record of a patient who has hypertension and a new prescription for propranolol. What findings should the nurse identify as a contraindication for taking propranolol?
Glaucoma.
DeBou syndrome.
Migraine headaches.
History of kidney stones.
The Correct Answer is A
Choice A rationale
Glaucoma is a contraindication for taking propranolol. Propranolol is a non-selective beta- blocker that can decrease intraocular pressure, which could worsen glaucoma.
Choice B rationale
DeBou syndrome is not a recognized medical condition and therefore cannot be a contraindication for taking propranolol.
Choice C rationale
Migraine headaches are not a contraindication for taking propranolol. In fact, propranolol is often used in the prevention of migraines.
Choice D rationale
A history of kidney stones is not a contraindication for taking propranolol. Propranolol does not affect kidney stone formation or exacerbate this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Increasing vitamin C intake by drinking orange juice is not recommended for a patient with gastroesophageal reflux disease (GERD). Orange juice is acidic and can exacerbate the symptoms of GERD5.
Choice B rationale
Lying down for 30 minutes after each meal is not recommended for a patient with GERD. This can cause stomach acid to flow back into the esophagus, worsening GERD symptoms.
Choice C rationale
Eating six small meals each day is a good practice for a patient with GERD. Smaller meals are easier on the stomach and less likely to cause reflux.
Choice D rationale
Sleeping flat on the back at night is not recommended for a patient with GERD. Elevating the head of the bed can help prevent stomach acid from flowing back into the esophagus.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Based on the client’s symptoms and laboratory findings, the client is at the highest risk for developing sepsis due to white blood cell count.
Sepsis is a severe response to infection, and the elevated white blood cell count (15,000/mm³) along with fever, chills, and other symptoms indicate a significant infection that could lead to sepsis.
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