A nurse at a provider's office is collecting data from a client who reports taking pseudoephedrine for sinus problems. The nurse should recognize that which of the following conditions from the client's history places the client at risk for harm while taking pseudoephedrine?
Overweight
Migraine headaches
Eczema
Hypertension
The Correct Answer is D
A. Overweight. While weight can affect medication metabolism, it does not specifically increase risk with pseudoephedrine.
B. Migraine headaches. Migraine headaches are not contraindicated with pseudoephedrine, although some stimulants can increase headaches.
C. Eczema. Pseudoephedrine does not typically affect eczema.
D. Hypertension. Pseudoephedrine is a decongestant that can increase blood pressure, so it should be used with caution in clients with hypertension.
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Correct Answer is D
Explanation
A. Depression: While propranolol can sometimes worsen symptoms of depression, this is not as critical as the impact on conditions like heart failure.
B. Glaucoma: Propranolol does not typically affect glaucoma; however, some beta-blockers are used to treat glaucoma.
C. Migraine: Propranolol is sometimes used to prevent migraines, so a history of migraines would not require discontinuation.
D. Heart failure: Propranolol can exacerbate heart failure by reducing myocardial contractility. Clients with heart failure require careful monitoring or an alternative medication.
Correct Answer is C
Explanation
A. "A heart murmur is a high-pitched sound due to a narrow valve." Not all murmurs are high-pitched, nor are they always due to a narrow valve.
B. "This means that there is some inflammation around your heart." A murmur does not indicate inflammation around the heart; it typically indicates abnormal blood flow.
C. "This indicates turbulent blood flow through a valve." A heart murmur is caused by turbulent blood flow, often through a damaged or abnormal valve.
D. "A heart murmur is an extra sound due to blood entering an inflexible chamber." While inflexible chambers can cause extra heart sounds, this does not describe a murmur.