Nokea
A nurse in a long-term care facility is contributing to the plan of care for a client who has a new prescription for propranolol. The nurse should plan to monitor the client for which of the following adverse effects of the medication?
- A. Ringing in the ears
- B. Bradycardia
- C. Hypertension
- D. Headache
Correct Answer: B
Rationale: Bradycardia is correct. Propranolol is a beta-blocker that reduces heart rate and blood pressure by blocking beta-adrenergic receptors. One of its primary adverse effects is bradycardia (slow heart rate), which can lead to dizziness, fatigue, or hypotension.
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A nurse is reinforcing teaching with a client who is scheduled for a prostate biopsy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Expect blood in the urine after the procedure.
- C. Avoid physical activity for 24 hours before the procedure.
- D. Take a sedative before the procedure.
Correct Answer: B
Rationale: Blood in the urine is expected after a prostate biopsy due to minor trauma to the prostate tissue.
A nurse is caring for a client who has a new diagnosis of restless legs syndrome. Which of the following findings should the nurse expect?
- A. Leg discomfort
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Leg discomfort, especially at night, is a hallmark symptom of restless legs syndrome, prompting movement.
A nurse is assisting with a community health program for caregivers of clients who have Alzheimer's disease. Which of the following information should the nurse include?
- A. Limit the number of choices for the client.
- B. Use written signs to assist the client with locating the bathroom.
- C. Provide a stimulating environment for the client.
- D. Use confrontation to manage the client's behavior.
Correct Answer: A
Rationale: Limiting the number of choices for the client is correct. Clients with Alzheimer's disease can become overwhelmed by too many options. Offering simple choices, such as 'Would you like tea or juice?' instead of an open-ended question, helps reduce confusion and frustration.
A nurse is caring for a client who is receiving IV fluids. The nurse notes that the IV site is red and swollen. Which of the following actions should the nurse take first?
- A. Elevate the extremity.
- B. Apply a warm compress.
- C. Discontinue the IV line.
- D. Notify the provider.
Correct Answer: C
Rationale: Discontinuing the IV line is the first action to prevent further complications from infiltration or phlebitis at the red and swollen site.
A nurse is reinforcing teaching with a client who has a new prescription for albuterol. Which of the following adverse effects should the nurse include?
- A. Tremors
- B. Bradycardia
- C. Hypoglycemia
- D. Constipation
Correct Answer: A
Rationale: Albuterol, a beta-agonist, can cause tremors as a common side effect due to its stimulatory effect on the nervous system.