Which symptom reported by a client indicates that the practical nurse (PN) should notify the healthcare provider before giving a scheduled dose of propranolol?
Headache.
Difficulty sleeping.
Palpitations.
Nausea.
The Correct Answer is C
Choice A rationale
Headaches are a common side effect of many medications and do not necessarily indicate a serious problem. However, if the headache is severe or persistent, it should be reported to the healthcare provider.
Choice B rationale
Difficulty sleeping is not typically associated with propranolol. While it can occur, it is not a common side effect and is not usually a cause for concern.
Choice C rationale
Palpitations, or a feeling of a fast, fluttering, or pounding heart, can be a sign of an irregular heartbeat, which can be a serious side effect of propranolol. This is because propranolol is a beta-blocker, a type of drug that can slow heart rate and reduce the force of heart contractions. Therefore, if a patient reports palpitations, the healthcare provider should be notified before the next dose of propranolol is given.
Choice D rationale
Nausea is a common side effect of many medications, including propranolol. However, it is usually mild and temporary. If the nausea is severe, persistent, or accompanied by other symptoms such as vomiting, the healthcare provider should be notified.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Pill-rolling hand motions are a common symptom of Parkinson’s disease. This is a type of tremor where the thumb and fingers rub together in a circular motion as if rolling a pill. This is not a contraindication to administering carbidopa-levodopa.
Choice B rationale
Anorexia, or loss of appetite, could be a sign of a more serious underlying condition or a side effect of the medication. This would require further assessment before administering the medication.
Choice C rationale
A flat affect, or reduced emotional expressiveness, is another common symptom of Parkinson’s disease. This would not typically require further assessment before administering carbidopa- levodopa.
Choice D rationale
Dizziness can be a side effect of carbidopa-levodopa. However, it would not typically require further assessment before administering the medication unless it was severe or persistent.
Correct Answer is ["F"]
Explanation
Choice A rationale
A pain rating of 2/10 is not directly related to the therapeutic effect of Bisacodyl. Bisacodyl is a stimulant laxative used to treat constipation, and its effectiveness would not typically be measured by pain ratings20.
Choice B rationale
A non-blanchable red area could be a sign of a pressure ulcer or other skin condition. It is not a therapeutic result of Bisacodyl administration20.
Choice C rationale
Blood pressure of 135/81 mmHg is a normal reading and is not directly related to the therapeutic effect of Bisacodyl20.
Choice D rationale
Sinus tachycardia, or a faster-than-normal heart rate, is not a therapeutic result of Bisacodyl administration. If a patient experiences sinus tachycardia while taking Bisacodyl, they should seek medical attention20.
Choice E rationale
Itching in legs is not a therapeutic result of Bisacodyl administration. It could be a sign of an allergic reaction or other medical condition20.
Choice F rationale
Semifluid stool is the correct answer. Bisacodyl is a stimulant laxative that works by increasing activity in the intestines to cause a bowel movement. Therefore, the production of semifluid stool can be considered a therapeutic result of Bisacodyl administration20.
Choice G rationale
A burning sensation is not a therapeutic result of Bisacodyl administration. If a patient experiences a burning sensation while taking Bisacodyl, they should seek medical attention20.
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