Mastery EAQ Ch. 19

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

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

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

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

A  Induced peripheral vasoconstriction

B  Reduced myocardial stimulation

C  Reduced myocardial contractility

D  Induced peripheral vasodilation

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

B  Listening for the patient’s apical pulse

C  Encouraging the patient to ambulate in the hallway

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

A  Blood pressure 120/70 mm Hg

B  Sodium level 140 mEq/mL

C  Electrocardiogram changes

D  Potassium level 4.1

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

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

C  Patient reports no difficulty breathing or shortness of breath.

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

A  Enhanced activity of the beta-blocker drug

B  Masked signs of hyperglycemia

C  Masked signs of hypoglycemia

D  Decreased activity of the beta-blocker drug

A  Increased blood pressure

B  Increased urinary flow

C  Bronchodilation

D  Tachycardia

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

B  Insomnia, Chest pain, Palpitations, Excessive agitation

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

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

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

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

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

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

A  2.7 mg

B  4.5 mg

C  3.2 mg

D  4.1 mg

A  Throbbing headaches

B  Shoulder pain

C  Hypertensive episodes

D  Severe hypotension

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

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

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

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

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

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

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

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

A  Phentolamine

B  Norepinephrine

C  Labetalol

D  Doxazosin

A  “What medications are you currently taking?”

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

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

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

A  Assess the patient’s lungs.

B  Teach the patient about beta blockers.

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

D  Call the health care provider.

A  Check blood pressure in sitting and lying positions.

B  Take apical pulse for 1 full minute.

C  Offer the patient a cup of orange juice.

D  Obtain a blood glucose level.

A  BP 120/70, P 60, RR 16

B  BP 150/85, P 90, RR 20

C  BP 170/90, P 85, RR 18

D  BP 90/50, P 110, RR 18

A  Phenoxybenzamine

B  Tamsulosin

C  Phentolamine

D  Terazosin

A  Maintain the patient’s intake and output.

B  Assess the heart rate before administration.

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

D  Make sure the patient is on telemetry monitoring.

A  Obtaining a normal saline flush

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

C  Refilling the patient’s water pitcher

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

A  Epinephrine

B  Digoxin

C  Sildenafil

D  Insulin

A  Administer activated charcoal.

B  Check the patient’s blood pressure.

C  Auscultate breath sounds.

D  Administer the vasopressor antidote.

A  Irregular apical pulse

B  Pulse 62

C  Bounding radial pulse

D  Wheezing bilaterally

A  Hypertension

B  Atrial fibrillation

C  Renal calculi

D  Hypothyroidism

A  A decreased resistance to urinary outflow

B  Pulsating headaches on one side of the head

C  A rapid heart rhythm

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

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

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

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

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

A  Syringe for intramuscular injection

B  Syringe for subcutaneous injection

C  Normal saline for infusion

D  Intravenous (IV) start kit

A  Heart failure, Atrioventricular block, Tremor

B  Migraine, Heart failure, Atrioventricular block

C  Tremor, Migraine, Hypertension

D  Heart failure, Hypertension, Atrioventricular block

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

B  Count the radial pulse for 1 full minute.

C  Measure both supine and standing blood pressures.

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

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

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

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

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

A  Wheat

B  Green, leafy vegetables

C  Red meat

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  Document this information and notify the nursing supervisor.

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

C  Monitor the patient closely for any additional symptoms.

D  Contact the prescribing health care provider.

A  Anaphylaxis

B  Overdosage

C  Toxicity

D  Extravasation

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

B  Tell the patient to change positions slowly.

C  Notify the patient’s health care provider.

D  Teach the patient how to take her blood pressure.

A  Take aspirin for abdominal pain.

B  Abdominal distention is likely.

C  Sleep supine to prevent vomiting.

D  Increase intake of fluids and fiber.

A  An overdosage of the medication

B  An unexpected adverse reaction to the medication

C  An allergic reaction to the medication

D  An expected side effect of this group of medications

A  Esmolol

B  Metoprolol

C  Propranolol

D  Carvedilol

A  Hypertension, Angina pectoris, Heart failure (HF)

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

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

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

A  Increased activity of the beta blocker

B  Decreased activity of the beta blocker

C  Decreased activity of the antacid

D  Increased activity of the antacid

A  Decreased beta-blocker activity

B  Decreased effect of the antacid

C  Increased beta-blocker activity

D  Increased effect of the antacid

A  Propranolol

B  Metoprolol

C  Esmolol

D  Carvedilol

A  Reduced beta-blocker effect

B  Enhanced effect of anticholinergics

C  Increased blood glucose levels

D  Prolonged neuromuscular blockade

A  Raynaud’s disease

B  Drug allergy

C  Heart failure

D  Pregnancy

A  6 to 20 hours

B  3 to 6 hours

C  2.5 to 4 hours

D  2 to 4 hours

A  Accelerated recovery from hypoglycemia in patients with type 1 diabetes

B  May cause diarrhea

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

D  May cause tachycardia

A  Cardioselective beta1-blockers

B  Alpha-blockers

C  Beta2-blockers

D  Nonselective beta-blockers

A  Subcutaneous

B  Intradermal

C  Oral

D  Intravenous

A  Phenoxybenzamine

B  Propranolol

C  Phentolamine

D  Tamsulosin

A  Heart

B  Muscle

C  Blood vessel

D  Tissue

A  Thrombocytopenia

B  Hypertension

C  Migraine headaches

D  Type 1 diabetes