1. A nurses is reviewing the medical record of a client who has hypertension.
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Thenurseshouldidentifywhichofthe followingfindingsasa contraindicationfor
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f receiving propranolol?
f
Cholelithiasis
Asthma
f
Angina pectoris
f
Tachycardia
f
: Correct: Asthma
f ff
Rationale
,: Correct: Asthma is a contraindication for receiving propranolol. Propranolol is an
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adrenergic antagonist that blocks the beta2 receptors in the lungs, causing bron-
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choconstriction and leading to serious airway resistance and possibly respiratory
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arrest.
f
2. A nurse is administering digoxin immune fab to a client following a med-
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f ication error.Which of the following findings should the nurse identify as an
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indication that the medication was effective?
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Sinus rhythm f
A decrease in the platelet count
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An increase in the alanine transaminase (ALT) levelDeep
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f tendon reflexes 2+ f f
: Correct: Sinus rhythm
f f f
Rationale
Digoxin immune Fab is the antidote for digoxin toxicity. Dysrhythmias are alife-
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threatening adverse effect of digoxin toxicity.Therefore, the return of the client's
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,heart to a sinus rhythm indicates a therapeutic response to the antidote, digoxinimmune
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Fab.Digoxin is a cardiac glycoside and anti-arhythmic.
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3. A nurse is teaching a client who is starting to take amitriptyline. Which of the
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following findings should the nurse include in the teaching as an adverseeffect
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f of the medication?
f f
Muscletwitching f
Cough
f
Urinary retention f
Increased libido
f f
: Correct: Urinary retention
f f f
Rationale
The nurse should instruct the client that amitriptyline causes the anti-cholinergic
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effect of urinary retention.
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4. Anurse is providing teaching to a clientwho is taking sumatripan.Which of
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, the following adverse effects should the nurse instruct the client to monitor
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