Mastery EAQ Ch. 19

A  Notify the prescribing health care provider because this is a contraindication for the patient.

B  Anticipate that the patient will be placed on a lower-than-usual dose of the drug.

C  Instruct the patient on how to monitor his or her own respiratory rate at home after discharge.

D  Plan to monitor the patient’s respiratory status frequently while the patient is taking the drug.

A  Induced peripheral vasodilation

B  Induced peripheral vasoconstriction

C  Reduced myocardial stimulation

D  Reduced myocardial contractility

A  Taking the patient’s blood pressure while the patient is lying down

B  Encouraging the patient to ambulate in the hallway

C  Telling the patient to eat the chicken on the lunch tray before the pudding

D  Listening for the patient’s apical pulse

A  Blood pressure 120/70 mm Hg

B  Sodium level 140 mEq/mL

C  Potassium level 4.1

D  Electrocardiogram changes

A  Patient’s urine output is less than 240 mL in an 8-hour period.

B  Patient reports no difficulty breathing or shortness of breath.

C  Patient’s heart rate is 90 beats/min when ambulating.

D  Patient’s blood pressure readings are systolic, 118 mm Hg and diastolic, 78 mm Hg.

A  Masked signs of hyperglycemia

B  Enhanced activity of the beta-blocker drug

C  Decreased activity of the beta-blocker drug

D  Masked signs of hypoglycemia

A  Tachycardia

B  Bronchodilation

C  Increased blood pressure

D  Increased urinary flow

A  Insomnia, Chest pain, Palpitations, Excessive agitation

B  Heart rate 70 beats/min, Chest pain, Palpitations, Excessive agitation

C  Insomnia, Chest pain, Palpitations, Heart rate 70 beats/min

D  Insomnia, Heart rate 70 beats/min, Palpitations, Excessive agitation

A  Use caution while driving. Monitor blood pressure while on this medication. Dose adjustment may be needed for the older adult.

B  Dose adjustment may be needed for the older adult. Drowsiness is a sign of toxicity. Change positions quickly to avoid headache.

C  Drowsiness is a sign of toxicity. Change positions quickly to avoid headache. Use caution while driving.

D  Monitor blood pressure while on this medication. Drowsiness is a sign of toxicity. Change positions quickly to avoid headache.

A  4.1 mg

B  2.7 mg

C  3.2 mg

D  4.5 mg

A  Hypertensive episodes

B  Throbbing headaches

C  Severe hypotension

D  Shoulder pain

A  Take hot showers instead of baths. Exercise during daylight hours between noon and 3 pm. Moderate alcohol intake.

B  Do not sit in saunas alone. Take hot showers instead of baths. Exercise during daylight hours between noon and 3 pm.

C  Moderate alcohol intake. Do not sit in saunas alone. Avoid hot climates as much as possible.

D  Take hot showers instead of baths. Avoid hot climates as much as possible. Exercise during daylight hours between noon and 3 pm.

A  “If you take your pulse and it is less than 60, hold your medicine and call your health care provider for instructions.”

B  “This medication may make you fatigued; increasing caffeine in your diet may help alleviate this problem.”

C  “If you become dizzy, do not take your medication for 2 days and then restart on the third day.”

D  “Increase intake of green leafy vegetables to prevent bleeding problems that can be caused by this medication.”

A  Phentolamine

B  Doxazosin

C  Norepinephrine

D  Labetalol

A  “Do you have air conditioning in your home?”

B  “How much have you had to drink today?”

C  “What medications are you currently taking?”

D  “Have you been to the sauna in the past 24 hours?”

A  Teach the patient about beta blockers.

B  Call the health care provider.

C  Assess the patient’s lungs.

D  Ask the patient if he has a history of any respiratory disease.

A  Take apical pulse for 1 full minute.

B  Check blood pressure in sitting and lying positions.

C  Offer the patient a cup of orange juice.

D  Obtain a blood glucose level.

A  BP 90/50, P 110, RR 18

B  BP 150/85, P 90, RR 20

C  BP 120/70, P 60, RR 16

D  BP 170/90, P 85, RR 18

A  Tamsulosin

B  Terazosin

C  Phenoxybenzamine

D  Phentolamine

A  Make sure the patient is on telemetry monitoring.

B  Call the health care provider to request a different medication.

C  Assess the heart rate before administration.

D  Maintain the patient’s intake and output.

A  Choosing a 25-gauge, ¼-inch needle and a 1-mL syringe

B  Selecting a 23-gauge, 1½-inch needle and a 3-mL syringe

C  Refilling the patient’s water pitcher

D  Obtaining a normal saline flush

A  Sildenafil

B  Epinephrine

C  Digoxin

D  Insulin

A  Administer the vasopressor antidote.

B  Auscultate breath sounds.

C  Check the patient’s blood pressure.

D  Administer activated charcoal.

A  Wheezing bilaterally

B  Irregular apical pulse

C  Pulse 62

D  Bounding radial pulse

A  Hypertension

B  Renal calculi

C  Hypothyroidism

D  Atrial fibrillation

A  A decreased resistance to urinary outflow

B  A rapid heart rhythm

C  Numbness of the nose, fingers, and ears in response to cold

D  Pulsating headaches on one side of the head

A  “I should avoid drinking my morning coffee while taking this drug.”

B  “I should limit my fluid intake while taking this medication.”

C  “One glass of red wine with meals will not interfere with the medication.”

D  “There’s no need to stop smoking while I’m on this medication.”

A  Normal saline for infusion

B  Intravenous (IV) start kit

C  Syringe for intramuscular injection

D  Syringe for subcutaneous injection

A  Tremor, Migraine, Hypertension

B  Heart failure, Hypertension, Atrioventricular block

C  Heart failure, Atrioventricular block, Tremor

D  Migraine, Heart failure, Atrioventricular block

A  Count the patient’s respiratory rate for 1 minute.

B  Measure both supine and standing blood pressures.

C  Count the radial pulse for 1 full minute.

D  Take the patient’s temperature by both the oral and axillary routes.

A  “I will notify the health care provider if I gain 5 pounds in a week.”

B  “I should report to urgent care if I feel dizzy when I stand up too fast.”

C  “I’ll call my health care provider if I lose more than 1 pound in a month.”

D  “I’ll tell my health care provider if I feel tired in the evenings.”

A  Red meat

B  Wheat

C  Green, leafy vegetables

D  Espresso

A  Consuming two alcoholic beverages a day

B  Taking medication for erectile dysfunction

C  Sitting at the bedside for 1 minute before standing

D  Beginning a daily exercise routine

A  Contact the prescribing health care provider.

B  Monitor the patient closely for any additional symptoms.

C  Take no action; this is an expected side effect.

D  Document this information and notify the nursing supervisor.

A  Anaphylaxis

B  Extravasation

C  Overdosage

D  Toxicity

A  Notify the patient’s health care provider.

B  Inform the patient to carry a rescue inhaler at all times.

C  Teach the patient how to take her blood pressure.

D  Tell the patient to change positions slowly.

A  Take aspirin for abdominal pain.

B  Increase intake of fluids and fiber.

C  Abdominal distention is likely.

D  Sleep supine to prevent vomiting.

A  An expected side effect of this group of medications

B  An overdosage of the medication

C  An unexpected adverse reaction to the medication

D  An allergic reaction to the medication

A  Metoprolol

B  Propranolol

C  Esmolol

D  Carvedilol

A  Sinus bradycardia, Cardiogenic shock, Heart failure (HF)

B  Sinus bradycardia, Cardiogenic shock, Chronic obstructive pulmonary disease (COPD)

C  Hypertension, Angina pectoris, Heart failure (HF)

D  Angina pectoris, Cardiogenic shock, Chronic obstructive pulmonary disease (COPD)

A  Decreased activity of the antacid

B  Increased activity of the antacid

C  Increased activity of the beta blocker

D  Decreased activity of the beta blocker

A  Decreased effect of the antacid

B  Increased beta-blocker activity

C  Increased effect of the antacid

D  Decreased beta-blocker activity

A  Propranolol

B  Metoprolol

C  Esmolol

D  Carvedilol

A  Increased blood glucose levels

B  Enhanced effect of anticholinergics

C  Prolonged neuromuscular blockade

D  Reduced beta-blocker effect

A  Raynaud’s disease

B  Heart failure

C  Drug allergy

D  Pregnancy

A  6 to 20 hours

B  3 to 6 hours

C  2 to 4 hours

D  2.5 to 4 hours

A  May cause diarrhea

B  Accelerated recovery from hypoglycemia in patients with type 1 diabetes

C  Should not be withdrawn abruptly but tapered over 1 to 2 weeks

D  May cause tachycardia

A  Cardioselective beta1-blockers

B  Beta2-blockers

C  Nonselective beta-blockers

D  Alpha-blockers

A  Intravenous

B  Oral

C  Subcutaneous

D  Intradermal

A  Propranolol

B  Tamsulosin

C  Phenoxybenzamine

D  Phentolamine

A  Heart

B  Tissue

C  Muscle

D  Blood vessel

A  Type 1 diabetes

B  Hypertension

C  Thrombocytopenia

D  Migraine headaches