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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 A

Explanation

A. The ST segment is above the isoelectric line. An elevated ST segment is a hallmark sign of acute myocardial infarction (MI), indicating myocardial injury.

B. The QRS intervals are 0.08 second. A QRS interval of 0.08 seconds is within the normal range and does not indicate myocardial infarction.

C. The QT interval is equal to the R to R interval. QT interval measurements are not diagnostic for acute MI.

D. The PR intervals are 0.15 second. A PR interval of 0.15 seconds is within the normal range and is not indicative of acute MI.

Correct Answer is B

Explanation

A. Bounding peripheral pulses: Hypokalemia typically causes weak, thready pulses rather than bounding ones.

B. Decreased deep-tendon reflexes: Hypokalemia can cause muscle weakness and decreased deep-tendon reflexes due to impaired neuromuscular function.

C. Hyperactive bowel sounds: Hypokalemia generally causes decreased or hypoactive bowel sounds due to slowed smooth muscle contraction.

D. Restlessness: Restlessness is not a typical sign of hypokalemia; hypokalemia more commonly causes weakness, lethargy, or fatigue.

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