A client who is receiving a b blocker tells the nurse that he ...

[tingc95]

A client who is receiving a b blocker tells the nurse that he also takes ibuprofen for arthritis pain. The nurse would be alert for which of the following?
 
  A) Decreased effect of the b blocker
  B) Increased risk of bradycardia
  C) Increased risk of paradoxical hypertensive effect
  D) Increase risk of hypotension

Question 2

A nurse is preparing to administer propranolol to a client for the treatment of cardiac arrhythmias. The nurse checks the client's apical pulse rate and blood pressure before administration and notes that the pulse rate is below 60 bpm.
 
  Which of the following would the nurse do next?
 
  A) Provide proper ventilation to the client.
  B) Delay drug administration for some time.
  C) Withhold the drug and contact the primary health care provider.
  D) Immediately give oxygen via face mask.

[steff9894]

Answer to Question 1

Ans: A
Feedback:
The nurse should monitor for the decreased effect of the b blocker in the client who is receiving a b blocker along with NSAIDs. The nurse need not monitor for increased risk of bradycardia and paradoxical hypertensive effect or decreased risk of hypotension. There is an increase in the risk of paradoxical hypertensive effect when a b-adrenergic blocking drug is administered with clonidine. There is an increase in the risk of bradycardia when a b-adrenergic blocking drug is administered with antidepressants. There is an increased risk of hypotension when a b-adrenergic blocking drug is administered with loop diuretics.

Answer to Question 2

Ans: C
Feedback:
The nurse should withhold the drug and contact the primary health care provider if the pulse rate of the client is below 60 bpm. Providing proper ventilation to the client, delaying drug administration for some time, or providing oxygen support to the client would be inappropriate for this client.

[tingc95]

Thank you!

[steff9894]

Always glad to help...