The nurse is caring for a patient receiving propranolol. What problems, reported by the patient, does the nurse suspect is caused by the drug? (Select all that apply.)
A) Seizures
B) Rash
C) Atrioventricular (AV) block
D) Bronchospasm
E) Dreams
C, D, E
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The adverse effects associated with class II antiarrhythmics are related to the effects of blocking beta-receptors in the sympathetic nervous system. Central nervous system effects include dizziness, insomnia, unusual dreams, and fatigue. Cardiovascular symptoms can include hypotension, bradycardia, AV block, arrhythmias, and alterations in peripheral perfusion. Respiratory effects can include bronchospasm and dyspnea. GI problems frequently include nausea, vomiting, anorexia, constipation, and diarrhea. Other effects to anticipate include a loss of libido, decreased exercise tolerance, and alterations in blood glucose levels. Seizures and rash are not usually associated with the adverse effects of propranolol.
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The nurse is educating the patient on the use of relaxing therapy. Which statement by the patient indicates a need for further education?
a. "I should relax my muscles from head to toe." b. "I visual the relaxed muscle." c. "I should do this three times a week." d. "I focus on muscles that are tense."
During the preoperative interview, the client's statement that would alert the nurse to an increased risk during surgery is "I
a. am a reformed smoker; I haven't had a cigarette in 10 years." b. rarely eat red meat; it usually makes me feel bloated." c. take a couple of aspirin every day for my headaches." d. take a large assortment of vitamins daily."
A 66-year-old patient has a decreased calcium level. The nurse anticipates a(n)
a. elevated sodium level. b. elevated phosphorus level. c. decreased magnesium level. d. decreased serum glucose level.
A nursing program has initiated a recruitment campaign focusing on increasing the minority students in its program. The rationale for this campaign is that:
a. The number of minority versus non-minority nurses should be equal. b. Minority health care professionals who share the same culture with the clients may provide more effective care. c. The profession should be more diverse. d. Minority nurses can mentor other nurses when providing care for diverse popula-tions.