A prescriber has ordered propranolol (Inderal) for a patient with recurrent ventricular tachycardia. The nurse preparing to administer this drug will be concerned about what in the patient's history?
a. Asthma
b. Exercise-induced tachyarrhythmias
c. Hypertension
d. Paroxysmal atrial tachycardia associated with emotion
ANS: A
Propranolol is contraindicated in patients with asthma, because it is a nonselective beta-adrenergic antagonist and can cause bronchoconstriction and exacerbate asthma. It is used to treat tachyarrhythmias and paroxysmal atrial tachycardia evoked by emotion, so it is not contraindicated for patients with these conditions. It lowers blood pressure, so it would be helpful in patients with hypertension.
You might also like to view...
A continuous IV is infusing at the rate of 30 gtt/min. The drop factor is 10 gtt/mL. How many milliliters will infuse in 1 1/2 hours?
1. 7.5 mL 2. 45 mL 3. 450 mL 4. 270 mL
A 30-year-old was diagnosed with amyotrophic lateral sclerosis (ALS). Which statement by the client would indicate a need for more teaching from the nurse?
A) "I will have progressive muscle weakness." B) "I will lose strength in my arms." C) "My children are at greater risk to develop this disease." D) "I need to remain active for as long as possible."
José's length was 19 inches at birth. What is his expected height at 1 year?
A) 25 inches B) 27 inches C) 29 inches D) 31 inches
If a patient is taking a drug that causes nausea, he or she may be advised to
a. drink liquids only. b. eat only starchy and bland foods. c. eat spicy foods to stimulate the appetite. d. drink liquids between rather than with meals.