A patient with portal hypertension is prescribed propranolol to reduce the risk of variceal bleeding. Which assessment is most important before giving the dose?
Correct answer: A. Check the apical pulse and blood pressure
- A. Check the apical pulse and blood pressure
- B. Check the pupil reaction and visual acuity
- C. Check bowel sounds and abdominal girth
- D. Check skin turgor and oral temperature
Explanation
Propranolol lowers heart rate and blood pressure, so the nurse checks the pulse and blood pressure and follows the prescribed hold parameters. Pupil response, bowel sounds and skin turgor do not identify the main immediate risks of this medicine.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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