A.   Migraine headaches

B.   Thrombocytopenia

C.   Hypertension

D.   Type 1 diabetes

A.   Tissue

B.   Muscle

C.   Blood vessel

D.   Heart

A.   Phentolamine

B.   Phenoxybenzamine

C.   Propranolol

D.   Tamsulosin

A.   Subcutaneous

B.   Intradermal

C.   Intravenous

D.   Oral

A.   Alpha-blockers

B.   Cardioselective beta1-blockers

C.   Beta2-blockers

D.   Nonselective beta-blockers

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C.   Should not be withdrawn abruptly but tapered over 1 to 2 weeks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.   2 to 4 hours

B.   3 to 6 hours

C.   2.5 to 4 hours

D.   6 to 20 hours

A.   Drug allergy

B.   Heart failure

C.   Raynaud’s disease

D.   Pregnancy

A.   Increased blood glucose levels

B.   Enhanced effect of anticholinergics

C.   Prolonged neuromuscular blockade

D.   Reduced beta-blocker effect

A.   Metoprolol

B.   Propranolol

C.   Esmolol

D.   Carvedilol

A.   Increased beta-blocker activity

B.   Increased effect of the antacid

C.   Decreased beta-blocker activity

D.   Decreased effect of the antacid

A.   Decreased activity of the beta blocker

B.   Increased activity of the beta blocker

C.   Decreased activity of the antacid

D.   Increased activity of the antacid

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

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

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

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

A.   Propranolol

B.   Metoprolol

C.   Esmolol

D.   Carvedilol

A.   An expected side effect of this group of medications

B.   An allergic reaction to the medication

C.   An unexpected adverse reaction to the medication

D.   An overdosage of the medication

A.   Sleep supine to prevent vomiting.

B.   Increase intake of fluids and fiber.

C.   Abdominal distention is likely.

D.   Take aspirin for abdominal pain.

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

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

C.   Notify the patient’s health care provider.

D.   Tell the patient to change positions slowly.

A.   Extravasation

B.   Anaphylaxis

C.   Toxicity

D.   Overdosage

A.   Monitor the patient closely for any additional symptoms.

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

C.   Document this information and notify the nursing supervisor.

D.   Contact the prescribing health care provider.

A.   Beginning a daily exercise routine

B.   Taking medication for erectile dysfunction

C.   Sitting at the bedside for 1 minute before standing

D.   Consuming two alcoholic beverages a day

A.   Espresso

B.   Wheat

C.   Green, leafy vegetables

D.   Red meat

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

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

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

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

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.   Heart failure, Atrioventricular block, Tremor

B.   Tremor, Migraine, Hypertension

C.   Migraine, Heart failure, Atrioventricular block

D.   Heart failure, Hypertension, Atrioventricular block

A.   Syringe for subcutaneous injection

B.   Normal saline for infusion

C.   Intravenous (IV) start kit

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 decreased resistance to urinary outflow

C.   Pulsating headaches on one side of the head

D.   A rapid heart rhythm

A.   Hypothyroidism

B.   Atrial fibrillation

C.   Renal calculi

D.   Hypertension

A.   Bounding radial pulse

B.   Irregular apical pulse

C.   Pulse 62

D.   Wheezing bilaterally

A.   Check the patient's blood pressure.

B.   Administer activated charcoal.

C.   Auscultate breath sounds.

D.   Administer the vasopressor antidote.

A.   Insulin

B.   Digoxin

C.   Sildenafil

D.   Epinephrine

A.   Obtaining a normal saline flush

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

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

D.   Refilling the patient’s water pitcher

A.   Maintain the patient’s intake and output.

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

C.   Assess the heart rate before administration.

D.   Make sure the patient is on telemetry monitoring.

A.   Terazosin

B.   Phenoxybenzamine

C.   Phentolamine

D.   Tamsulosin

A.   BP 150/85, P 90, RR 20

B.   BP 120/70, P 60, RR 16

C.   BP 90/50, P 110, RR 18

D.   BP 170/90, P 85, RR 18

A.   Obtain a blood glucose level.

B.   Take apical pulse for 1 full minute.

C.   Offer the patient a cup of orange juice.

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.   "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.   Phentolamine

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.   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. Exercise during daylight hours between noon and 3 pm. Moderate alcohol intake.

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

A.   Shoulder pain

B.   Hypertensive episodes

C.   Throbbing headaches

D.   Severe hypotension

A.   4.5 mg

B.   4.1 mg

C.   3.2 mg

D.   2.7 mg

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

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

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.   Increased urinary flow

B.   Tachycardia

C.   Increased blood pressure

D.   Bronchodilation

A.   Masked signs of hypoglycemia

B.   Masked signs of hyperglycemia

C.   Decreased activity of the beta-blocker drug

D.   Enhanced activity of the beta-blocker drug

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

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

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

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

A.   Blood pressure 120/70 mm Hg

B.   Potassium level 4.1

C.   Electrocardiogram changes

D.   Sodium level 140 mEq/mL

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

B.   Encouraging the patient to ambulate in the hallway

C.   Listening for the patient’s apical pulse

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

A.   Reduced myocardial contractility

B.   Induced peripheral vasodilation

C.   Reduced myocardial stimulation

D.   Induced peripheral vasoconstriction

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

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

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

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