Question 1

A 49-year-old patient is in the clinic for a follow-up visit 6 months after starting a beta blocker for treatment of hypertension. During this visit, his blood pressure is 169/98 mm Hg, and he eventually confesses that he stopped taking this medicine 2 months ago because of an "embarrassing problem." What problem did the patient most likely experience with this medication that caused him to stop taking it?

Accepted Answer

A)   Urge incontinence
B)   Dizziness when standing up
C)   Excessive flatus
D)   Impotence

Question 2

A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will monitor for which potential drug effect?

Accepted Answer

A)   Orthostatic hypotension
B)   Increased blood pressure
C)   Decreased urine flow
D)   Discolored urine

Question 3

A patient who has had recent myocardial infarction has been placed on a beta blocker. The nurse recognizes that the main purpose of the beta blocker for this patient is to:

Accepted Answer

A)   cause vasodilation of the coronary arteries.
B)   prevent hypertension.
C)   increase conduction through the SA node.
D)   protect the heart from circulating catecholamines.

Question 4

A 58-year-old man has had a myocardial infarction (MI) , has begun rehabilitation, and is ready for discharge. He is given a prescription for metoprolol (Lopressor)  and becomes upset after reading the patient education pamphlet. "I don't have high blood pressure-why did my doctor give me this medicine?" Which explanation by the nurse is correct?

Accepted Answer

A)   "This medication will prevent blood clots that may lead to another heart attack."
B)   "Beta blockers will improve blood flow to the kidneys."
C)   "This drug is prescribed to prevent the high blood pressure that often occurs after a heart attack."
D)   "Studies have shown that this medication has greatly increased survival rates in patients who have had a heart attack."

Question 5

A patient has an order for carvedilol (Coreg) 6.25 mg twice a day PO. The tablets are 3.125 mg. How many tablets will the nurse administer per dose?

Accepted Answer

2 tablets
3.125 mg :...

Question 6

During therapy with a beta blocker, the patient notices that she has swollen feet, has gained 3 pounds within 2 days, feels short of breath even when walking around the house, and has been dizzy. The nurse suspects that which of the following is occurring?

Accepted Answer

A)   The patient is experiencing an allergic reaction.
B)   The patient may be developing heart failure.
C)   More time is needed for the patient to see a therapeutic response to the drug.
D)   The patient is experiencing expected adverse effects of the drug.

Question 7

A patient has a new prescription for tamsulosin ( Flomax )  as treatment for benign prostatic hyperplasia. The nurse is checking his current medication list and will contact the prescriber regarding a potential interaction if the patient is also taking which drug?

Accepted Answer

A)   levothyroxine ( Synthroid )  for hypothyroidism
B)   sildenafil ( Viagra ) , an erectile dysfunction medication
C)   omeprazole ( Prilosec ) , a proton pump inhibitor
D)   low-dose aspirin for stroke prevention

Question 8

The nurse is screening a patient who will be taking a nonspecific/nonselective beta blocker. Which condition, if present, may cause serious problems if the patient takes this medication?

Accepted Answer

A)   Angina
B)   Hypertension
C)   Glaucoma
D)   Asthma

Question 9

A patient is going home with a new prescription for the beta blocker atenolol (Tenormin) . The nurse will include which content when teaching the patient about this drug?

Accepted Answer

A)   Never stop taking this medication abruptly.
B)   The medication will be stopped once symptoms subside.
C)   If adverse effects occur, stop taking the drug for 24 hours, and then resume.
D)   Be watchful for first-dose hypotension.

Question 10

During initial rounds, the nurse notes that a dobutamine infusion has extravasated into the forearm of a patient. After stopping the infusion, the nurse follows standing orders and immediately injects phentolamine (Regitine)  subcutaneously in a circular fashion around the extravasation site. What is the mechanism of action of the phentolamine in this situation?

Accepted Answer

A)   It neutralizes the extravasated dobutamine immediately.
B)   It causes arterial vasoconstriction and reduced pain and swelling at the site.
C)   It increases peripheral vascular resistance and reduces arterial pressure at the site.
D)   It increases blood flow to the ischemic site by vasodilation to prevent tissue damage.

Question 11

During a teaching session about self-monitoring while taking a beta blocker at home, the nurse has taught the patient to take his apical pulse daily for 1 minute. If the pulse rate decreases to less than 60 beats per minute, the nurse will instruct the patient to:

Accepted Answer

A)   notify his prescriber.
B)   reduce the dose of his beta blocker by half.
C)   continue the medication because this is an expected effect.
D)   skip the medication dose that day, and check his pulse again the next day. A

Question 12

A beta blocker is prescribed for a patient with angina. The nurse reviews the orders for other drugs that may interact with the beta blocker. Which drugs or drug classes are known to have an interaction with a beta blocker? (Select all that apply.)

Accepted Answer

A)   Diuretics
B)   Anticholinergics
C)   Penicillins
D)   Oral hypoglycemics
E)   AlcoholF)  Anticoagulants

Question 13

A patient is experiencing diastolic heart failure. The nurse expects which beta blocker to be ordered for this patient?

Accepted Answer

A)   atenolol ( Tenormin ) 
B)   carvedilol ( Coreg ) 
C)   acebutolol ( Sectral ) 
D)   esmolol ( Brevibloc )  B

Question 14

The teaching for a patient who is taking tamsulosin (Flomax)  to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these?

Accepted Answer

A)   Fluids need to be restricted while on this medication.
B)   Take the medication with breakfast to promote the maximum effects of the drug.
C)   Get up slowly from a sitting or lying position.
D)   Blood pressure must be monitored because the medication may cause hypertension. C

Exam 19: Adrenergic-Blocking Drugs

Correct Answer
verified

A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will monitor for which potential drug effect?

Correct Answer
verified

A patient who has had recent myocardial infarction has been placed on a beta blocker. The nurse recognizes that the main purpose of the beta blocker for this patient is to:

Correct Answer
verified

Correct Answer
verified

A patient has an order for carvedilol (Coreg) 6.25 mg twice a day PO. The tablets are 3.125 mg. How many tablets will the nurse administer per dose?

Correct Answer
verified
2 tablets
3.125 mg :...
View Answer

During therapy with a beta blocker, the patient notices that she has swollen feet, has gained 3 pounds within 2 days, feels short of breath even when walking around the house, and has been dizzy. The nurse suspects that which of the following is occurring?

Correct Answer
verified

A patient has a new prescription for tamsulosin ( Flomax ) as treatment for benign prostatic hyperplasia. The nurse is checking his current medication list and will contact the prescriber regarding a potential interaction if the patient is also taking which drug?

Correct Answer
verified

The nurse is screening a patient who will be taking a nonspecific/nonselective beta blocker. Which condition, if present, may cause serious problems if the patient takes this medication?

Correct Answer
verified

A patient is going home with a new prescription for the beta blocker atenolol (Tenormin) . The nurse will include which content when teaching the patient about this drug?

Correct Answer
verified

Correct Answer
verified

During a teaching session about self-monitoring while taking a beta blocker at home, the nurse has taught the patient to take his apical pulse daily for 1 minute. If the pulse rate decreases to less than 60 beats per minute, the nurse will instruct the patient to:

Correct Answer
verified
A

A beta blocker is prescribed for a patient with angina. The nurse reviews the orders for other drugs that may interact with the beta blocker. Which drugs or drug classes are known to have an interaction with a beta blocker? (Select all that apply.)

Correct Answer
verified

A patient is experiencing diastolic heart failure. The nurse expects which beta blocker to be ordered for this patient?

Correct Answer
verified
B

The teaching for a patient who is taking tamsulosin (Flomax) to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these?

Correct Answer
verified
C

Exam 19: Adrenergic-Blocking Drugs

Correct AnswerverifiedShow Answer

A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will monitor for which potential drug effect?

Correct AnswerverifiedShow Answer

A patient who has had recent myocardial infarction has been placed on a beta blocker. The nurse recognizes that the main purpose of the beta blocker for this patient is to:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A patient has an order for carvedilol (Coreg) 6.25 mg twice a day PO. The tablets are 3.125 mg. How many tablets will the nurse administer per dose?

Correct Answerverified2 tablets3.125 mg :...View AnswerShow Answer

During therapy with a beta blocker, the patient notices that she has swollen feet, has gained 3 pounds within 2 days, feels short of breath even when walking around the house, and has been dizzy. The nurse suspects that which of the following is occurring?

Correct AnswerverifiedShow Answer

A patient has a new prescription for tamsulosin ( Flomax ) as treatment for benign prostatic hyperplasia. The nurse is checking his current medication list and will contact the prescriber regarding a potential interaction if the patient is also taking which drug?

Correct AnswerverifiedShow Answer

The nurse is screening a patient who will be taking a nonspecific/nonselective beta blocker. Which condition, if present, may cause serious problems if the patient takes this medication?

Correct AnswerverifiedShow Answer

A patient is going home with a new prescription for the beta blocker atenolol (Tenormin) . The nurse will include which content when teaching the patient about this drug?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

During a teaching session about self-monitoring while taking a beta blocker at home, the nurse has taught the patient to take his apical pulse daily for 1 minute. If the pulse rate decreases to less than 60 beats per minute, the nurse will instruct the patient to:

Correct AnswerverifiedA

A beta blocker is prescribed for a patient with angina. The nurse reviews the orders for other drugs that may interact with the beta blocker. Which drugs or drug classes are known to have an interaction with a beta blocker? (Select all that apply.)

Correct AnswerverifiedShow Answer

A patient is experiencing diastolic heart failure. The nurse expects which beta blocker to be ordered for this patient?

Correct AnswerverifiedB

The teaching for a patient who is taking tamsulosin (Flomax) to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these?

Correct AnswerverifiedC

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
2 tablets
3.125 mg :...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
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Correct Answer
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B

Correct Answer
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C