A.   Migraine headaches

B.   Thrombocytopenia

C.   Hypertension

D.   Type 1 diabetes

A.   Blood vessel

B.   Muscle

C.   Tissue

D.   Heart

A.   Propranolol

B.   Phenoxybenzamine

C.   Phentolamine

D.   Tamsulosin

A.   Subcutaneous

B.   Intravenous

C.   Oral

D.   Intradermal

A.   Alpha-blockers

B.   Nonselective beta-blockers

C.   Cardioselective beta1-blockers

D.   Beta2-blockers

A.   Should not be withdrawn abruptly but tapered over 1 to 2 weeks

B.   Accelerated recovery from hypoglycemia in patients with type 1 diabetes

C.   May cause tachycardia

D.   May cause diarrhea

A.   2 to 4 hours

B.   3 to 6 hours

C.   2.5 to 4 hours

D.   6 to 20 hours

A.   Raynaud’s disease

B.   Heart failure

C.   Pregnancy

D.   Drug allergy

A.   Enhanced effect of anticholinergics

B.   Prolonged neuromuscular blockade

C.   Reduced beta-blocker effect

D.   Increased blood glucose levels

A.   Esmolol

B.   Propranolol

C.   Carvedilol

D.   Metoprolol

A.   Increased effect of the antacid

B.   Increased beta-blocker activity

C.   Decreased beta-blocker activity

D.   Decreased effect of the antacid

A.   Increased activity of the antacid

B.   Decreased activity of the beta blocker

C.   Decreased activity of the antacid

D.   Increased activity of the beta blocker

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

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

C.   Sinus bradycardia, Cardiogenic shock, Heart failure (HF)

D.   Hypertension, Angina pectoris, Heart failure (HF)

A.   Esmolol

B.   Carvedilol

C.   Propranolol

D.   Metoprolol

A.   An overdosage of the medication

B.   An expected side effect of this group of medications

C.   An unexpected adverse reaction to the medication

D.   An allergic reaction to the medication

A.   Take aspirin for abdominal pain.

B.   Increase intake of fluids and fiber.

C.   Sleep supine to prevent vomiting.

D.   Abdominal distention is likely.

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

B.   Tell the patient to change positions slowly.

C.   Teach the patient how to take her blood pressure.

D.   Notify the patient’s health care provider.

A.   Overdosage

B.   Extravasation

C.   Anaphylaxis

D.   Toxicity

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.   Taking medication for erectile dysfunction

B.   Beginning a daily exercise routine

C.   Sitting at the bedside for 1 minute before standing

D.   Consuming two alcoholic beverages a day

A.   Red meat

B.   Green, leafy vegetables

C.   Espresso

D.   Wheat

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

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 will notify the health care provider if I gain 5 pounds in a week."

A.   Count the radial pulse for 1 full minute.

B.   Measure both supine and standing blood pressures.

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

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

A.   Heart failure, Hypertension, Atrioventricular block

B.   Heart failure, Atrioventricular block, Tremor

C.   Migraine, Heart failure, Atrioventricular block

D.   Tremor, Migraine, Hypertension

A.   Intravenous (IV) start kit

B.   Normal saline for infusion

C.   Syringe for subcutaneous injection

D.   Syringe for intramuscular injection

A.   "There’s no need to stop smoking while I’m on this medication."

B.   "One glass of red wine with meals will not interfere with the medication."

C.   "I should avoid drinking my morning coffee while taking this drug."

D.   "I should limit my fluid intake while taking this medication."

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

B.   A rapid heart rhythm

C.   Pulsating headaches on one side of the head

D.   A decreased resistance to urinary outflow

A.   Hypothyroidism

B.   Hypertension

C.   Atrial fibrillation

D.   Renal calculi

A.   Bounding radial pulse

B.   Wheezing bilaterally

C.   Pulse 62

D.   Irregular apical pulse

A.   Administer the vasopressor antidote.

B.   Administer activated charcoal.

C.   Auscultate breath sounds.

D.   Check the patient's blood pressure.

A.   Insulin

B.   Sildenafil

C.   Digoxin

D.   Epinephrine

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

B.   Assess the heart rate before administration.

C.   Maintain the patient’s intake and output.

D.   Make sure the patient is on telemetry monitoring.

A.   Tamsulosin

B.   Phentolamine

C.   Terazosin

D.   Phenoxybenzamine

A.   BP 120/70, P 60, RR 16

B.   BP 150/85, P 90, RR 20

C.   BP 90/50, P 110, RR 18

D.   BP 170/90, P 85, RR 18

A.   Offer the patient a cup of orange juice.

B.   Take apical pulse for 1 full minute.

C.   Obtain a blood glucose level.

D.   Check blood pressure in sitting and lying positions.

A.   Call the health care provider.

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

C.   Teach the patient about beta blockers.

D.   Assess the patient’s lungs.

A.   "How much have you had to drink today?"

B.   "Do you have air conditioning in your home?"

C.   "What medications are you currently taking?"

D.   "Have you been to the sauna in the past 24 hours?"

A.   Phentolamine

B.   Labetalol

C.   Norepinephrine

D.   Doxazosin

A.   "This medication may make you fatigued; increasing caffeine in your diet may help alleviate this problem."

B.   "Increase intake of green leafy vegetables to prevent bleeding problems that can be caused by this medication."

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

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

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

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

C.   Do not sit in saunas alone. Take hot showers instead of baths. 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.   Throbbing headaches

B.   Severe hypotension

C.   Shoulder pain

D.   Hypertensive episodes

A.   4.1 mg

B.   4.5 mg

C.   2.7 mg

D.   3.2 mg

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

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

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

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

A.   Insomnia, Chest pain, Palpitations, Heart rate 70 beats/min

B.   Insomnia, Chest pain, Palpitations, Excessive agitation

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

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

A.   Increased urinary flow

B.   Tachycardia

C.   Increased blood pressure

D.   Bronchodilation

A.   Masked signs of hyperglycemia

B.   Masked signs of hypoglycemia

C.   Enhanced activity of the beta-blocker drug

D.   Decreased activity of the beta-blocker drug

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

B.   Patient reports no difficulty breathing or shortness of breath.

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

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

A.   Sodium level 140 mEq/mL

B.   Potassium level 4.1

C.   Blood pressure 120/70 mm Hg

D.   Electrocardiogram changes

A.   Listening for the patient’s apical pulse

B.   Telling the patient to eat the chicken on the lunch tray before the pudding

C.   Encouraging the patient to ambulate in the hallway

D.   Taking the patient’s blood pressure while the patient is lying down

A.   Reduced myocardial contractility

B.   Reduced myocardial stimulation

C.   Induced peripheral vasodilation

D.   Induced peripheral vasoconstriction

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

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

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

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