Try Naxlex NCLEX-RN (Free-Trial)

The client has been ordered a nonselective beta-blocking agent called propranolol, PO. Propranolol is used in the treatment of which disorders (Select All that Apply.)

A.

Hypoglycemia

B.

Arrhythmias

C.

Hypertension

D.

Hypokalemia

E.

Angina

Answer and Explanation

Correct Answer : B,C,E

A) Hypoglycemia:
Propranolol, a nonselective beta-blocking agent, can mask some of the symptoms of hypoglycemia, such as tachycardia and tremors, by blocking the sympathetic response. Therefore, it is not typically used in the treatment of hypoglycemia and may even exacerbate low blood sugar levels.

B) Arrhythmias:
Propranolol is commonly used in the treatment of various cardiac arrhythmias. By blocking beta-adrenergic receptors in the heart, it reduces the heart rate and myocardial contractility, thereby helping to control arrhythmias such as atrial fibrillation and ventricular tachycardia.

C) Hypertension:
Propranolol is effective in lowering blood pressure and is often prescribed for the management of hypertension. Its beta-blocking action reduces cardiac output and suppresses renin release, leading to decreased systemic vascular resistance and blood pressure.

D) Hypokalemia:
Propranolol does not have a direct role in the treatment of hypokalemia. While it can potentially exacerbate hypokalemia through its effects on potassium metabolism, it is not a primary treatment for this electrolyte imbalance.

E) Angina:
Propranolol is indicated for the treatment of angina pectoris, particularly in cases of stable angina. By reducing myocardial oxygen demand through its negative chronotropic and inotropic effects, it helps relieve anginal symptoms and improve exercise tolerance."
 


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is ["43.1"]

Explanation

Here's how we can find the dose:

Convert client weight to kilograms (kg):

We know 1 kg = 2.205 pounds.

Client weight (kg) = 95 lbs / 2.205 lb/kg = 43.1 kg (round to one decimal place for accuracy in calculation).

Calculate the enoxaparin dosage per dose:

Prescribed dosage: 1 mg/kg/dose

Client weight (kg): 43.1 kg (rounded value from step 1)

Enoxaparin dose per dose (mg) = Dosage (mg/kg/dose) x Client weight (kg)

Enoxaparin dose per dose (mg) = 1 mg/kg/dose * 43.1 kg = 43.1 mg (round to nearest tenth as requested)

Therefore, the nurse should administer approximately 43.1 mg of enoxaparin per dose.

Correct Answer is D

Explanation

A) Check the client's perianal skin integrity:
Assessing perianal skin integrity is important in the care of a client with ulcerative colitis, particularly due to the potential for diarrhea and irritation. However, this is not the first priority upon admission for an acute exacerbation.

B) Educate the patient on which foods the patient should eat:
Nutritional education is crucial in managing ulcerative colitis, but it is not the priority during the initial assessment and admission for an acute exacerbation. Stabilizing the client's condition and addressing immediate needs take precedence.

C) Investigate the client's emotional concerns:
While emotional support is important, particularly in chronic conditions like ulcerative colitis, assessing emotional concerns is not the first action required upon admission for an acute exacerbation. Physical stabilization and assessment of the client's condition are the initial priorities.

D) Review the client's electrolyte values:
This is the correct answer. During an acute exacerbation of ulcerative colitis, there is a risk of electrolyte imbalance due to diarrhea and fluid loss. Reviewing the client's electrolyte values is crucial to assess the severity of dehydration and electrolyte imbalances, which can have immediate implications for the client's treatment plan and stabilization.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register