The nurse is reviewing a new prescription for propranolol (Inderal) for a patient with coronary heart disease (CHD). The nurse should call the physician and question this prescription if the patient's history includes what information?
1. asthma and chronic obstructive pulmonary disease (COPD)
2. taking antioxidants
3. taking simvastatin (Zocor)
4. bleeding disorders
Correct Answer: 1
Class II beta-blockers such as propranolol are used to reduce heart rate and myocardial contractility and in the treatment of supraventricular tachycardia. These drugs may cause bronchospasm and are contraindicated for patients with asthma, chronic obstructive pulmonary disease (COPD), or other restrictive or obstructive lung diseases. Antioxidants and simvastatin may be taken concurrently with propranolol. Bleeding disorders are not associated with propranolol use.
You might also like to view...
The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. For which symptoms should the nurse monitor this child?
1. Respiratory distress and cyanosis 2. Thrombocytopenia and leukocytosis 3. Oliguria and altered levels of consciousness 4. Upper-extremity edema and neck vein distension
After months of infertility procedures, a physician informs a 32-year-old patient that she will never conceive. As the nurse enters the examination room, the patient states, "I guess I'm a fail-ure as a woman
" Based on this statement, what is the most appropriate nursing diagnosis? a. Sexual dysfunction b. Ineffective health maintenance c. Disturbed body image d. Ineffective coping
The nurse is assessing an older adult patient who reports dry skin and itching. Which term will the nurse use when documenting the occurrence of itching?
1) Pruritus 2) Ectropion 3) Varicosity 4) Atrophy
A nurse is teaching the staff about the benefits of Nursing Outcomes Classification. Which information should the nurse include in the teaching session? (Select all that apply.)
a. Includes seven domains for level 1 b. Uses an easy 3-point Likert scale c. Adds objectivity to judging a patient's progress d. Allows choice in which interventions to choose e. Measures nursing care on a national and international level