should instruct clients who have diabetes mellitus and take propranolol to recognize
alternative indications of hypoglycemia, such as hunger and
... [Show More] fatigue.
Adverse Effects of Propranolol
Insomnia and nightmares, and can cause difficulty breathing.
A nurse is reinforcing dietary teaching with a client who is taking furosemide.
Which of the following foods should the nurse recommend as the best source
of potassium?
➖ 1 cup baked potatoes
➖ 1 cup fresh blueberries
➖ 1 cup fresh watermelon
➖ 1 cup raw chopped cabbage
ANSWER: 1 CUP BAKED POTATOES.
Rationale: The nurse should determine that baked potatoes are the best source of
potassium to recommend because they contain 506mg of potassium per 1 cup
serving. Furosemide causes potassium loss and the client is at risk for
HYPOkalemia. Therefore, the nurse should instruct the client to increase the dietary
potassium intake.
A nurse is reinforcing teaching with a client who has been prescribed
isoniazid. Which of the following client statements indicates an understanding
of the teaching?
➖ "I should expect my urine to turn reddish in color."
➖ "I will have a skin test to determine when I am no longer contagious."
➖ "I should notify my provider if I develop numbness in my feet."
➖ "I should expect to take this medication for 6 weeks."
ANSWER: "I SHOULD NOTIFY MY PROVIDER IF I DEVELOP NUMBNESS IN MY
FEET."
Rationale: The nurse should instruct the client to notify the provider for
manifestations of peripheral neuropathy, such as tingling, numbness, burning, or
pain in extremities.
A nurse is assisting with the care of a client who has oral benzodiazepine
toxicity. The client has an IV infusing and is nonresponsive. Which of the
following interventions should the nurse anticipate first?
➖ Administering norepinephrine via continuous IV infusion
➖ Administering IV flumazenil
➖ Performing gastric lavage
➖ Preparing the client for mechanical ventilation
ANSWER: ADMINISTERING IV FLUMAZENIL.
Rationale: Evidence-based practice indicates that the priority action for a client who
has benzodiazepine toxicity is to administer IV flumazenil. Flumazenil is a
benzodiazepine receptor antagonist used to reverse sedation caused by
benzodiazepine toxicity. The IV medication begin working withing 1 to 2 min.
Therefore, administering flumazenil is the first action the nurse should anticipate.
A nurse is reinforcing teaching with a client who has chronic stable angina and a
prescription for sublingual nitroglycerin tablets. Which of the following instructions
should the nurse include in the teaching?
➖ "Replace your bottle of tablets every 3 months for best effectiveness." [Show Less]