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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. "I am constipated." Constipation is not a common indicator of digoxin toxicity; it may be more related to diet or other medications.

B. "My vision seems yellow." Yellow or blurred vision, also called xanthopsia, is a classic sign of digoxin toxicity and should be reported immediately.

C. "My tongue is red and beefy." A red and beefy tongue may indicate vitamin B12 deficiency, not digoxin toxicity.

D. "I am gaining weight." Weight gain is usually a sign of fluid retention or worsening heart failure, not specifically digoxin toxicity.

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.

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