In what patient is propranolol (Inderal) contraindicated? A) ...

[charchew]

In what patient is propranolol (Inderal) contraindicated?
 
  A) 26-year-old man with viral myocarditis
  B) 45-year-old woman with heart failure who suffered a myocardial infarction
  C) 42-year-old man with hypertension
  D) 65-year-old woman with persistent migraines

Question 2

A 28-year-old woman is planning to be part of a mission team going to Central Africa. She will take mefloquine (Lariam) once a week, beginning 1 week before traveling to Africa until 4 weeks after leaving Africa.
 
  What precaution will the nurse teach this patient is needed? A) Avoid excessive weight gain.
  B) Have regular cancer screening.
  C) Use contraceptives to avoid pregnancy.
  D) Stop the medication if diabetes is diagnosed.

[xiaomengxian]

Answer to Question 1

B
Feedback:
Beta-adrenergic blocking agents are contraindicated in patients with bradycardia, heart failure, and heart block. The drug would not be contraindicated in the other patients.

Answer to Question 2

C
Feedback:
Mefloquine is teratogenic and should be avoided during pregnancy. The nurse will want to determine whether a possibility exists that the patient is pregnant and warn about the need to avoid pregnancy for 2 months after completing therapy. Avoiding weight gain and having regular cancer screenings are good preventive care but not associated with mefloquine. This medication is not contraindicated in patients with diabetes.

[charchew]

Thanks for the timely response, appreciate it

[gcook]

TYSM