A.   Thrombocytopenia

B.   Migraine headaches

C.   Hypertension

D.   Type 1 diabetes

A.   Muscle

B.   Tissue

C.   Heart

D.   Blood vessel

A.   Tamsulosin

B.   Propranolol

C.   Phentolamine

D.   Phenoxybenzamine

A.   Intravenous

B.   Subcutaneous

C.   Oral

D.   Intradermal

A.   Cardioselective beta1-blockers

B.   Nonselective beta-blockers

C.   Alpha-blockers

D.   Beta2-blockers

A.   Should not be withdrawn abruptly but tapered over 1 to 2 weeks

B.   May cause tachycardia

C.   May cause diarrhea

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

A.   2.5 to 4 hours

B.   3 to 6 hours

C.   6 to 20 hours

D.   2 to 4 hours

A.   Raynaud’s disease

B.   Heart failure

C.   Drug allergy

D.   Pregnancy

A.   Prolonged neuromuscular blockade

B.   Reduced beta-blocker effect

C.   Increased blood glucose levels

D.   Enhanced effect of anticholinergics

A.   Propranolol

B.   Carvedilol

C.   Metoprolol

D.   Esmolol

A.   Decreased beta-blocker activity

B.   Decreased effect of the antacid

C.   Increased beta-blocker activity

D.   Increased effect of the antacid

A.   Increased activity of the beta blocker

B.   Increased activity of the antacid

C.   Decreased activity of the beta blocker

D.   Decreased activity of the antacid

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

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

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

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

A.   Esmolol

B.   Carvedilol

C.   Metoprolol

D.   Propranolol

A.   An allergic reaction to the medication

B.   An unexpected adverse reaction to the medication

C.   An overdosage of the medication

D.   An expected side effect of this group of medications

A.   Sleep supine to prevent vomiting.

B.   Take aspirin for abdominal pain.

C.   Abdominal distention is likely.

D.   Increase intake of fluids and fiber.

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.   Toxicity

D.   Anaphylaxis

A.   Monitor the patient closely for any additional symptoms.

B.   Document this information and notify the nursing supervisor.

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

D.   Contact the prescribing health care provider.

A.   Taking medication for erectile dysfunction

B.   Sitting at the bedside for 1 minute before standing

C.   Consuming two alcoholic beverages a day

D.   Beginning a daily exercise routine

A.   Red meat

B.   Green, leafy vegetables

C.   Espresso

D.   Wheat

A.   "I’ll call my health care provider if I lose more than 1 pound in a month."

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

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

D.   "I should report to urgent care if I feel dizzy when I stand up too fast."

A.   Measure both supine and standing blood pressures.

B.   Count the radial pulse for 1 full minute.

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

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

A.   Migraine, Heart failure, Atrioventricular block

B.   Heart failure, Hypertension, Atrioventricular block

C.   Heart failure, Atrioventricular block, Tremor

D.   Tremor, Migraine, Hypertension

A.   Normal saline for infusion

B.   Intravenous (IV) start kit

C.   Syringe for subcutaneous injection

D.   Syringe for intramuscular injection

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

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

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

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

A.   A rapid heart rhythm

B.   Pulsating headaches on one side of the head

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

D.   A decreased resistance to urinary outflow

A.   Hypothyroidism

B.   Atrial fibrillation

C.   Hypertension

D.   Renal calculi

A.   Pulse 62

B.   Bounding radial pulse

C.   Wheezing bilaterally

D.   Irregular apical pulse

A.   Administer the vasopressor antidote.

B.   Administer activated charcoal.

C.   Check the patient's blood pressure.

D.   Auscultate breath sounds.

A.   Insulin

B.   Digoxin

C.   Sildenafil

D.   Epinephrine

A.   Refilling the patient’s water pitcher

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

C.   Obtaining a normal saline flush

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

A.   Make sure the patient is on telemetry monitoring.

B.   Maintain the patient’s intake and output.

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

D.   Assess the heart rate before administration.

A.   Terazosin

B.   Tamsulosin

C.   Phentolamine

D.   Phenoxybenzamine

A.   BP 90/50, P 110, RR 18

B.   BP 120/70, P 60, RR 16

C.   BP 150/85, P 90, RR 20

D.   BP 170/90, P 85, RR 18

A.   Check blood pressure in sitting and lying positions.

B.   Take apical pulse for 1 full minute.

C.   Obtain a blood glucose level.

D.   Offer the patient a cup of orange juice.

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

B.   Teach the patient about beta blockers.

C.   Call the health care provider.

D.   Assess the patient’s lungs.

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

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

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

D.   "What medications are you currently taking?"

A.   Labetalol

B.   Norepinephrine

C.   Phentolamine

D.   Doxazosin

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

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

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.   Throbbing headaches

B.   Severe hypotension

C.   Shoulder pain

D.   Hypertensive episodes

A.   3.2 mg

B.   4.5 mg

C.   4.1 mg

D.   2.7 mg

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

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

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

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

A.   Insomnia, Chest pain, Palpitations, Excessive agitation

B.   Heart rate 70 beats/min, 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.   Bronchodilation

B.   Tachycardia

C.   Increased blood pressure

D.   Increased urinary flow

A.   Decreased activity of the beta-blocker drug

B.   Masked signs of hypoglycemia

C.   Enhanced activity of the beta-blocker drug

D.   Masked signs of hyperglycemia

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.   Potassium level 4.1

B.   Electrocardiogram changes

C.   Sodium level 140 mEq/mL

D.   Blood pressure 120/70 mm Hg

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

B.   Listening for the patient’s apical pulse

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 stimulation

B.   Induced peripheral vasoconstriction

C.   Induced peripheral vasodilation

D.   Reduced myocardial contractility

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

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

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

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