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A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following findings should the nurse identify as an adverse effect of the medication?

A.

Respiratory rate 24/min

B.

Oral temperature 38.9° C (102° F)

C.

Blood pressure 118/78 mm Hg

D.

Apical pulse 50/min

Answer and Explanation

The Correct Answer is D

Rationale:

 

A. A respiratory rate of 24/min is elevated and may suggest respiratory distress, but it is not a specific adverse effect of propranolol.

 

B. An oral temperature of 38.9° C (102° F) indicates fever, which is not a typical adverse effect of propranolol.

 

C. A blood pressure of 118/78 mm Hg is within normal limits and does not indicate an adverse effect of propranolol, which is often used to manage hypertension.

 

D. An apical pulse of 50/min indicates bradycardia, a known adverse effect of propranolol, which can occur due to its action on the heart rate.


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View Related questions

Correct Answer is C

Explanation

Rationale:

A. Sargramostim is a granulocyte-macrophage colony-stimulating factor (GM-CSF) used to stimulate the production of white blood cells but is not specifically indicated for anemia.

B. Filgrastim is a granulocyte colony-stimulating factor (G-CSF) that increases white blood cell counts and is not used for treating anemia.

C. Epoetin is an erythropoiesis-stimulating agent that stimulates red blood cell production, making it the appropriate choice for treating chemotherapy-induced anemia.

D. Romiplostim is a thrombopoietin receptor agonist used to treat thrombocytopenia (low platelet count) and is not indicated for anemia.

Correct Answer is B

Explanation

Rationale:

A. Dyspepsia: While dyspepsia can be uncomfortable, it is not a critical finding that requires immediate reporting to the provider. It may be a common side effect of statins but typically does not warrant urgent intervention.

B. Elevated creatine kinase: An elevated creatine kinase level can indicate muscle damage, which is a serious side effect associated with rosuvastatin and other statins. This finding requires immediate reporting to prevent complications such as rhabdomyolysis.

C. Headache: A headache may occur with many medications and does not usually require immediate reporting unless it is severe or persistent.

D. Mostly cloudy: This option does not pertain to any specific clinical finding or symptom and is therefore not relevant to the question.

E. Decreased HDL cholesterol: While low HDL cholesterol can be a concern, it is not as urgent as elevated creatine kinase levels and typically does not require immediate action.

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