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A client with asthma receives a prescription for high blood pressure during a clinic visit.
Which prescription should the nurse anticipate the client to receive that is at least likely
to exacerbate asthma? correct answer Metoprolol tartrate (Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a cardioselective
and less likely to cause bronchoconstriction.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse
that the healthcare provider discontinued the medication because his blood pressure
has been normal for the past 3 months. Which instruction should the nurse provide?
correct answer Ask the healthcare provider about tapering the drug dose over the next
week.
HCP discontinued drug BUT measures to prevent rebound cardiac excitation, such as
progressively reducing the dose over 1 or 2 weeks, should be recommended to prevent
rebound tachycardia, hypertension, and ventricular dysrhythmias.
A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness. Which
additional assessment should the nurse make? correct answer How long has the client
been taking the medication?
Drowsiness can occur in the early weeks of treatment with clonidine and with continued
use becomes less intense, so the length of time the client has been on the medication
provides information to direct additional instruction.
The nurse is preparing to administer atropine, an anticholinergic, to a client who is
scheduled for a cholecystectomy. The client asks the nurse to explain the reason for the
prescribed medication. What response is best for the nurse to provide? correct answer
Decrease the risk of bradycardia during surgery
Atropine may be prescribed preoperatively to increase the automaticity of the sinoatrial
node and prevent a dangerous reduction in heart rate during surgical anesthesia.
An 80-year old client is given morphine sulfate for post-op pain. Which concomitant med
should the nurse question that poses a potential development of urinary retention in this
geriatric client? correct answer Tricyclic antidepressants
Drugs with anticholinergic properties can exacerbate urinary retention associated with
opioids in the older client.
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