The client takes propranolol for a cardiac dysrhythmia. The LPN/LVN observes the client coughing and
wheezing. Which action does the LPN/LVN take next?
1. No action as this is an expected outcome of the medication.
2.
...
The client takes propranolol for a cardiac dysrhythmia. The LPN/LVN observes the client coughing and
wheezing. Which action does the LPN/LVN take next?
1. No action as this is an expected outcome of the medication.
2. Asks the client how long the cough has been going on.
3. Gives the client the standing order cough medication.
4. Notifies the health care provider of an adverse reaction.
Strategy: "Next" indicates discrimination is required. Think about propranolol and the
adverse effects.
1) coughing and wheezing are not expected responses and need to be reported to health
care provider
2) this may be an appropriate question, but action must be taken to change the medication
3) cough medication may be helpful short term, but the health care provider needs to be
notified of the adverse effect
4) CORRECT — an adverse reaction is bronchospasm and the health care provider needs to
be notified so a medication change can be made
The LPN/LVN cares for the client who experiences difficulty sleeping. Which findings
contribute to the client's sleep issues? Select all that apply.
1. Client’s bedroom is kept at a very warm temperature.
2. Client reads books for an hour before bedtime.
3. Client eats large amount of food before bedtime.
4. Client exercises for an hour before going to bed.
5. Client drinks warm milk before going to bed.
6. Client practices relaxation exercises before going to bed.
Strategy: Think about what activities help people stay awake and which cause sleep.
1) CORRECT — extreme temperatures may make sleep difficult
2) reading will encourage sleep for most people
3) CORRECT — eating a large meal just before bed often causes sleep difficulties
4) CORRECT — exercising increases heart rate and adds endorphins which make sleep
difficult
5) warm milk helps with sleep for most people
6) relaxation helps with sleep
[Show More]