A nurse is collecting data from a client who has hypertension and a prescription for propranolol.
A history of which of the following conditions should be reported to the provider?
Migraine
Depression.
Glaucoma.
Heart failure.
The Correct Answer is D
Choice A rationale:
Migraine is not a contraindication for propranolol. In fact, propranolol is often used to reduce the severity and frequency of migraine headaches.
Choice B rationale:
Depression is not a contraindication for propranolol.
Choice C rationale:
Glaucoma is not a contraindication for propranolol.
Choice D rationale:
Heart failure is a contraindication for propranolol. Propranolol is a non-selective beta blocker that can exacerbate heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Montelukast is a leukotriene receptor antagonist used for the prophylaxis and chronic treatment of asthma, not for aborting an ongoing attack.
Choice B rationale:
Fluticasone is a corticosteroid used for the long-term management of asthma symptoms, not for immediate relief of an ongoing attack.
Choice C rationale:
Cromolyn is a mast cell stabilizer used for the prophylaxis of asthma, not for aborting an ongoing attack.
Choice D rationale:
Albuterol is a short-acting beta-adrenergic agonist (SABA) used for the relief of acute asthma symptoms or attacks.
Correct Answer is B
Explanation
The correct answer is choice B. Peripheral edema of the ankles.
Choice A rationale:
A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.
Choice B rationale:
Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.
Choice C rationale:
A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.
Choice D rationale:
An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.
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