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A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol.
Which of the following statements by the client indicates an understanding of the teaching?.

"I should expect to develop a slight cough while taking this medication.”.

"I will sit on the side of the bed before I stand up.”.

"I will not take my medicine if my heart rate is greater than 70/min.”.

"I should weigh myself on the same day once a week.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.

Choice B rationale:

Propranolol can cause dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position. So, it’s important to sit on the side of the bed before standing up.

Choice C rationale:

Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.

Choice D rationale:

While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.

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Correct Answer is A

Explanation

Choice A rationale:

Timolol is a non-selective beta blocker that can slow heart rate, leading to bradycardia.

Choice B rationale:

Seizures are not a common side effect of timolol.

Choice C rationale:

Timolol is used to decrease intraocular pressure, not blood pressure.

Choice D rationale:

Anemia is not a known side effect of timolol.

A. BP of 148/94 mm Hg B. Peripheral edema of the ankles. C. Heart rate of 66/min. D. Increased alkaline phosphatase level.

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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A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol. Which of the following statements by the client indicates an understanding of the teaching?.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the following adverse effects should the nurse monitor the client?.

Correct Answer is A

Explanation

A nurse is collecting data from a client prior to administering nifedipine. For which of the following findings should the nurse contact the provider?.

Correct Answer is B

Explanation

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A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol.
Which of the following statements by the client indicates an understanding of the teaching?.