Author Question: The nurse is reviewing a new prescription for propranolol (Inderal) for a patient with coronary ... (Read 31 times)

james

  • Hero Member
  • *****
  • Posts: 573
The nurse is reviewing a new prescription for propranolol (Inderal) for a patient with coronary heart disease (CHD). The nurse should call the physician and question this prescription if the patient's history includes what information?
 
  1. asthma and chronic obstructive pulmonary disease (COPD)
  2. taking antioxidants
  3. taking simvastatin (Zocor)
  4. bleeding disorders

Question 2

A patient identified as being at risk for coronary heart disease does not understand why exercise is important. What should the nurse explain to this patient?
 
  Select all that apply.
 
  1. Exercise decreases blood pressure.
  2. Exercise increases oxygen to the heart.
  3. Exercise potentiates platelet aggregation.
  4. Exercise decreases the workload of the heart.
  5. Exercise improves the electrical ability of the heart.



bdobbins

  • Sr. Member
  • ****
  • Posts: 326
Answer to Question 1

Correct Answer: 1
Class II beta-blockers such as propranolol are used to reduce heart rate and myocardial contractility and in the treatment of supraventricular tachycardia. These drugs may cause bronchospasm and are contraindicated for patients with asthma, chronic obstructive pulmonary disease (COPD), or other restrictive or obstructive lung diseases. Antioxidants and simvastatin may be taken concurrently with propranolol. Bleeding disorders are not associated with propranolol use.

Answer to Question 2

Correct Answer: 1, 2, 4, 5
Cardiovascular benefits of exercise include increased availability of oxygen to the heart muscle, decreased oxygen demand and cardiac workload, and increased myocardial function and electrical stability. Other positive effects of regular physical activity include decreasing blood pressure and platelet aggregation.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

The average office desk has 400 times more bacteria on it than a toilet.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

Certain rare plants containing cyanide include apricot pits and a type of potato called cassava. Fortunately, only chronic or massive ingestion of any of these plants can lead to serious poisoning.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

For a complete list of videos, visit our video library