An 80-year-old patient has begun taking propranolol (Inderal) and reports feeling tired all of the time. The primary care NP should:
a. tell the patient to stop taking the medication immediately.
b. recommend that the patient take the medication at bedtime.
c. tell the patient that tolerance to this side effect will occur over time.
d. contact the patient's cardiologist to discuss decreasing the dose of propranolol.
D
Elderly patients have described sedation and sleep disturbances with B-blockers. Elderly patients often need lower doses of these drugs. Patients should not be advised to discontinue the medication abruptly.
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Older clients with renal failure will develop anemia if untreated because of
A) loss of appetite related to elevated blood urea nitrogen (BUN) and creatinine levels. B) the result of renal dialysis. C) loss of blood through the urine because the failing kidney does not function properly. D) loss of the kidney hormone erythropoietin.
The nurse is conducting a health surveillance visit with a 6-month-old infant. Which methods are appropriate to monitor the infant's growth pattern since birth?
1. Weight the infant twice and average together 2. Measure the infant's height 3. Measure the infant's head circumference 4. Determine the infant's body mass index 5. Plot the infant's growth on appropriate chart
A nurse receives a patient postoperatively who received a neuromuscular blocker, tubocurarine, during surgery. The nurse is performing a physical assessment, including frequent vital signs assessment
Which finding indicates that the frequency of assessments may be decreased? a. The patient can state his name, the appropriate date, and the year. b. The patient can void when needed. c. The patient can move all extremities fully. d. The patient has vital signs within normal limits.
The patient describes her chest pain as "squeezing, crushing, and 12 on a scale of 10." This pain started more than an hour ago while she was resting, and she also feels nauseous
Based on these findings, the nurse should assess for which associated symptoms? a. Tachycardia, tachypnea, and hypertension b. Dyspnea, diaphoresis, and palpitations c. Hyperventilation, fatigue, anorexia, and emotional strain d. Fever, dyspnea, orthopnea, and friction rub