In reviewing a client's health record, which condition would be a contraindication for using Propranolol to treat hypertension?

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Asthma. Propranolol is a non-selective beta-blocker that can lead to bronchoconstriction, making it unsuitable for patients with asthma. When considering pharmacological treatment for hypertension, it is crucial to assess for contraindications to ensure patient safety and effectiveness of the therapy. Option B) Glaucoma is not a contraindication for using Propranolol in hypertension treatment. In fact, Propranolol can be beneficial for patients with glaucoma as it reduces intraocular pressure. Option C) Hypertension is the condition being treated, so it is not a contraindication for using Propranolol. In fact, Propranolol is commonly used to manage hypertension. Option D) Tachycardia is not a contraindication for using Propranolol in hypertension treatment. Propranolol's mechanism of action includes reducing heart rate and myocardial contractility, making it effective in managing tachycardia. Educationally, this question highlights the importance of considering individual patient characteristics and comorbidities when selecting pharmacological treatments. It emphasizes the need for healthcare providers to have a thorough understanding of drug actions, contraindications, and potential adverse effects to make informed decisions in clinical practice.

Correct Answer: D

Rationale: Metoprolol, a beta-adrenergic blocker, is commonly used to treat hypertension and stable angina pectoris. It is often prescribed to decrease heart rate in clients who develop tachycardia, such as in the case of reflex tachycardia induced by Isosorbide Mononitrate, making it the appropriate choice in this scenario.

Correct Answer: C

Rationale: The correct action the nurse should plan to take when administering Propranolol to a client with dysrhythmia is to assist the client when transitioning to a sitting or standing position. Propranolol can cause orthostatic hypotension, leading to dizziness during position changes, so it is essential to help the client move slowly to prevent falls or injuries.

Correct Answer: B

Rationale: The correct action the healthcare professional should plan to take is to insert the needle completely into the client's tissue (Option B). This is the correct procedure for administering subcutaneous injections like enoxaparin. By ensuring the needle is fully inserted into the subcutaneous tissue, the medication can be delivered effectively and safely. Option A is incorrect because expelling the air bubble from the prefilled syringe is not necessary for subcutaneous injections and could lead to medication wastage. Option C is incorrect as the injection should be administered in the abdomen or upper thigh, not specifically in the thigh. Option D is also incorrect as aspirating after inserting the needle is not recommended for subcutaneous injections as there is no need to check for blood return. In an educational context, it is crucial for healthcare professionals to understand the correct techniques for administering various medications to ensure patient safety and optimal therapeutic outcomes. Proper training and knowledge of medication administration procedures are essential skills for healthcare providers to master in order to deliver quality patient care.

Correct Answer: D

Rationale: The correct intervention when preparing to administer Filgrastim is to discard the vial after removing one dose of the medication. This practice helps prevent contamination and ensures the medication's effectiveness. Reusing the vial can lead to contamination and compromise the sterility of the medication, putting the client at risk. Therefore, it is crucial to follow proper aseptic technique and discard the vial after withdrawing the prescribed dose.