Cashback Offer (1st - 15th October 2020). Get Flat 10% Cashback credited in your account on a minimum transaction of $80. Post Your Question

Question DetailsNormal
$ 22.00

Critical Care Comprehensive Exam 1

Question posted by
Online Tutor Profile
request

1. 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 least likely to exacerbate asthma?

A.       Carteolol (Ocupress).

B.      Propranolol hydrochloride (Inderal).

C.      Pindolol (Visken). Incorrect

D.      Metoprolol tartrate (Lopressor). Correct

The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction. Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and increase asthmatic symptoms. Although carteolol (B) is a beta blocking agent and an effective antihypertensive agent used in managing angina, it can increase a client's risk for bronchoconstriction due to its nonselective beta blocker action. Propranolol (D) also blocks the beta2 receptors in the lungs, causing bronchoconstriction, and is not indicated in clients with asthma and other obstructive pulmonary disorders.

 

2. 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 three months. Which instruction should the nurse provide?

A.        Obtain another antihypertensive prescription to avoid withdrawal symptoms.

B.        Stop the medication and keep an accurate record of blood pressure.

C.        Report any uncomfortable symptoms after stopping the medication.

D.        Ask the healthcare provider about tapering the drug dose over the next week. Correct

Although the healthcare provider discontinued the propranolol, measures to prevent rebound cardiac excitation, such as progressively reducing the dose over one to two weeks (C), should be recommended to prevent rebound tachycardia, hypertension, and ventricular dysrhythmias. Abrupt cessation (A and B) of the beta-blocking agent may precipitate tachycardia and rebound hypertension, so gradual weaning should be recommended. (D) is not indicated.

 

3. A client who is taking clonidine (Catapres, Duraclon) reports drowsiness. Which additional assessment should the nurse make?

A.       Has the client experienced constipation recently?

B.      Did the client miss any doses of the medication?

C.      How long has the client been taking the medication? Correct

D.      Does the client use any tobacco products?

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 (A) provides information to direct additional instruction. (B, C, and D) are not relevant.

 

4.ID: 6974873590

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?

A.              Provide a more rapid induction of anesthesia.

B.              Induce relaxation before induction of anesthesia.

C.              Decrease the risk of bradycardia during surgery. Correct

D.              Minimize the amount of analgesia needed postoperatively.

Atropine may be prescribed preoperatively to increase the automaticity of the sinoatrial node and prevent a dangerous reduction in heart rate (B) during surgical anesthesia. (A, C and D) do not address the therapeutic action of atropine use perioperatively.

Available Answer
$ 22.00

[Solved] Critical Care Comprehensive Exam 1

  • This solution is not purchased yet.
  • Submitted On 06 Oct, 2020 04:20:00
Answer posted by
Online Tutor Profile
solution
1. 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 least likely to exacerbate asthma? A. Carteolol (Ocupress). B. Propranolol hydrochloride (Inderal). C. Pindolol (Visken). Incorrect D. Metoprolol tartrate (Lopressor). Correct The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction. Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and increase asthmatic symptoms. Although carteolol (B) is a beta blocking agent and an effective antihypertensive agent used in managing angina, it can increase a client's risk for bronchoconstriction due to its nonselective beta blocker action...
Buy now to view the complete solution
Other Similar Questions
User Profile
DEEPE...

CIS 510 Assignment 4: Creating the Critical Path

CIS 510 Assignment 4

Creating the Critical Path

PLEASE CHECK ATTACHMENT

 

...
User Image
COURS...

HESI CRITICAL THINKING

ITheInurseIisIworkingIinItheIemergencyIdepartmentI(ED)IofIaIchildren'sImedicalIcenter. IWhichIclientIshouldItheInurseIassessIfirst? CorrectI-I3-TheIchildIhitIbyIaIcarIshouldIbeIassessedIfirstIbecauseIheIorIsheImayIhave Ili...
User Image
COURS...

Critical Care Comprehensive Exam 1

1. 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 least likely to exacerbate asthma? A. Carteolo...
User Profile
Acade...

Application and critical analysis of Existential therapy

1000 words with 15 credible references on Application and critical analysis of Existential therapy  This analysis should focus on your understanding of the application of the phenomenological/existential  appro...
User Profile
Jose

Applying Critical Thinking- CyberTech Case

CyberTech is facing a conflict of interest in this case, which may not be significant in deciding whether the company should take both cases or not. The Anomalous in this case needs to be investigated for the possible breach ...

The benefits of buying study notes from CourseMerit

homeworkhelptime
Assurance Of Timely Delivery
We value your patience, and to ensure you always receive your homework help within the promised time, our dedicated team of tutors begins their work as soon as the request arrives.
tutoring
Best Price In The Market
All the services that are available on our page cost only a nominal amount of money. In fact, the prices are lower than the industry standards. You can always expect value for money from us.
tutorsupport
Uninterrupted 24/7 Support
Our customer support wing remains online 24x7 to provide you seamless assistance. Also, when you post a query or a request here, you can expect an immediate response from our side.
closebutton

$ 629.35