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?
Respiratory rate 24/min
Oral temperature 38.9° C (102° F)
Blood pressure 118/78 mm Hg
Apical pulse 50/min
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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Correct Answer is B
Explanation
Rationale:
A. "I will stop taking this medication when I feel better.": The full course of antibiotics should be completed to ensure the infection is fully treated and to prevent antibiotic resistance. This statement shows a misunderstanding.
B. "This medication can increase my risk of sunburn.": Ciprofloxacin can increase sensitivity to sunlight, making the skin more prone to sunburn. Clients are advised to avoid excessive sun exposure and use sunscreen.
C. "I should take my medication daily in the morning with milk.": Ciprofloxacin should not be taken with dairy products as calcium can interfere with the absorption of the medication, reducing its effectiveness.
D. "I should stop taking my birth control pills while I'm taking this medication.": Ciprofloxacin does not require discontinuation of birth control pills, though clients should be aware of the potential for antibiotic interactions to reduce contraceptive effectiveness.
Correct Answer is A
Explanation
Rationale:
A. The pharmacist typically restocks the medication drawer each day to ensure that medications are available and up-to-date. This is an essential component of the unit-dose medication system.
B. The nursing supervisor does not usually unlock the medication drawer; this is typically done by the nurse in charge or the individual administering the medications.
C. While it is important to limit the number of controlled substances, the medication drawer is usually stocked in a manner that allows for easy access to necessary medications, and there are regulations that govern this process.
D. Opened medications should not necessarily be disposed of at the end of each shift; they may be retained if they are still within their stability period and are properly stored according to protocols.