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A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?

A.

Depression

B.

Glaucoma

C.

Migraine

D.

Heart failure

Answer and Explanation

The Correct Answer is D

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.


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View Related questions

Correct Answer is B

Explanation

A. Fatigue. Fatigue can be a common symptom of various health conditions, including heart disease, and is not specific to pacemaker malfunction.

B. Rapid pulse. A rapid pulse or palpitations may signal a malfunction where the pacemaker is pacing too quickly or erratically.

C. Increased urine output. Increased urine output is not related to pacemaker function and does not indicate a malfunction.

D. Sneezing. Sneezing is unrelated to pacemaker malfunction and does not warrant provider notification.

Correct Answer is ["A","C","E"]

Explanation

A. "This medication can make me have mood swings." Beta blockers can cause mood changes, such as depression or mood swings, as a side effect.

B. "I may have urinary incontinence while taking this medication." Urinary incontinence is not a common side effect of beta blockers.

C. "I should not drive while taking this new medication." Beta blockers can cause dizziness or fatigue, so clients should avoid driving until they know how the medication affects them.

D. "I may have frequent hiccups while taking this medication." Hiccups are not a common side effect of beta blockers.

E. "This new medication may decrease my sex drive." Beta blockers can sometimes cause decreased libido as a side effect.

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