Author Question: A patient who has asthma is diagnosed with hypertension. The nurse understands that which drug will ... (Read 24 times)

penza · **on:** Jul 23, 2018

A patient who has asthma is diagnosed with hypertension. The nurse understands that which drug will be safe to give this patient?

a. Pindolol (Visken)
b. Metoprolol (Lopressor)
c. Nadolol (Corgard)
d. Propranolol (Inderal)

Question 2

The nurse is caring for a patient who is being treated with total parenteral nutrition (TPN). The patient is experiencing chest pain, and the nurse observes shortness of breath and coughing along with cyanosis.

The nurse understands that this patient is most likely experiencing which condition?
a. Air embolism
b. Pneumonia
c. Pneumothorax
d. Pulmonary edema

adf223 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Metoprolol is a selective adrenergic blocker that has a greater affinity for receptors that decrease heart rate and blood pressure and is less likely to cause bronchospasm. The other adrenergic blockers are not selective and can cause bronchoconstriction .

Answer to Question 2

ANS: A
Patients receiving TPN are at risk for air embolism and will report chest pain and be dyspneic with coughing and cyanosis. Patients with pneumonia will have cough and either adventitious breath sounds or diminished breath sounds. Patients with pneumothorax will have unilateral absent breath sounds and respiratory distress. Patients with pulmonary edema will have crackles and dyspnea.