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    ATI Advanced Pharmacology Final Proctored Exam

    The nurse is performing an assessment on a patient who will begin taking propranolol (Inderol) to treat hypertension.The nurse learns that the patients have a history of asthma and diabetes.The nurse will take which action.

    Explanation & Rationale

    Choice A rationaleRenal function tests are not specifically required for propranolol administration unless there are existing renal concerns. Propranolol is primarily metabolized by the liver, not the kidneys.Choice B rationaleWhile it is important to consider drug interactions, the primary concern with propranolol in this patient is the history of asthma and diabetes, not herbal medication interactions.Choice C rationalePropranolol, a non-selective beta-blocker, can exacerbate asthma symptoms and mask hypoglycemia in diabetic patients. Consulting with the doctor to consider a different antihypertensive medication that does not have these risks is a prudent approach.Choice D rationaleWhile monitoring serum glucose levels is important, administering propranolol in a patient with a history of asthma and diabetes poses significant risks. An alternative medication should be considered. .

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