A patient is prescribed propranolol for migraine prevention. Which assessment finding would be a priority to report to the provider?
BP 130/80mmHg
Expiratory wheezing
Hunger and thirst
Pulse 98 beats/min
The Correct Answer is B
Choice A rationale: A blood pressure reading of 130/80 mmHg is within the normal range and would not be a priority to report.
Choice B rationale: Expiratory wheezing is a potential adverse effect of propranolol, especially in patients with a history of asthma or other respiratory conditions. It should be reported promptly to the provider.
Choice C rationale: Hunger and thirst are not typically associated with adverse effects of propranolol.
Choice D rationale: A pulse of 98 beats/min is within the normal range and would not be a priority to report.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale: A history of anaphylactic reaction to a specific vaccine or its components is a contraindication, as it indicates a severe allergic response.
Choice B rationale: A moderate local reaction to a vaccine is not an absolute contraindication. It may be considered when weighing risks and benefits.
Choice C rationale: The presence of moderate or severe illnesses, with or without a fever, is an absolute contraindication, as vaccines may exacerbate existing illness.
Choice D rationale: Current treatment with antimicrobial medication is not an absolute contraindication to vaccination in children.
Correct Answer is C
Explanation
Choice A rationale: Fatigue is a nonspecific symptom and may not be directly indicative of salicylism.
Choice B rationale: Heartburn after meals is not a classic symptom of salicylism.
Choice C rationale: Ringing in the ears (tinnitus) is a characteristic symptom of salicylism and indicates high levels of aspirin in the blood.
Choice D rationale: Vomiting can occur with aspirin toxicity, but it is not as specific a symptom as tinnitus.

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