A.   Hypertension

B.   Migraine headaches

C.   Thrombocytopenia

D.   Type 1 diabetes

A.   Heart

B.   Blood vessel

C.   Tissue

D.   Muscle

A.   Phenoxybenzamine

B.   Tamsulosin

C.   Propranolol

D.   Phentolamine

A.   Intravenous

B.   Intradermal

C.   Subcutaneous

D.   Oral

A.   Nonselective beta-blockers

B.   Cardioselective beta1-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A.   Should not be withdrawn abruptly but tapered over 1 to 2 weeks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.   Accelerated recovery from hypoglycemia in patients with type 1 diabetes

D.   May cause diarrhea

A.   6 to 20 hours

B.   2 to 4 hours

C.   2.5 to 4 hours

D.   3 to 6 hours

A.   Raynaud’s disease

B.   Drug allergy

C.   Pregnancy

D.   Heart failure

A.   Prolonged neuromuscular blockade

B.   Increased blood glucose levels

C.   Enhanced effect of anticholinergics

D.   Reduced beta-blocker effect

A.   Propranolol

B.   Carvedilol

C.   Esmolol

D.   Metoprolol

A.   Decreased effect of the antacid

B.   Increased beta-blocker activity

C.   Decreased beta-blocker activity

D.   Increased effect of the antacid

A.   Decreased activity of the antacid

B.   Increased activity of the beta blocker

C.   Decreased activity of the beta blocker

D.   Increased activity of the antacid

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

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

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

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

A.   Carvedilol

B.   Esmolol

C.   Metoprolol

D.   Propranolol

A.   An allergic reaction to the medication

B.   An overdosage of the medication

C.   An unexpected adverse reaction to the medication

D.   An expected side effect of this group of medications

A.   Sleep supine to prevent vomiting.

B.   Abdominal distention is likely.

C.   Take aspirin for abdominal pain.

D.   Increase intake of fluids and fiber.

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

B.   Tell the patient to change positions slowly.

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

D.   Notify the patient’s health care provider.

A.   Extravasation

B.   Toxicity

C.   Anaphylaxis

D.   Overdosage

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.   Beginning a daily exercise routine

B.   Sitting at the bedside for 1 minute before standing

C.   Taking medication for erectile dysfunction

D.   Consuming two alcoholic beverages a day

A.   Green, leafy vegetables

B.   Wheat

C.   Espresso

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

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

A.   Count the radial pulse for 1 full minute.

B.   Measure both supine and standing blood pressures.

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, Hypertension, Atrioventricular block

B.   Migraine, Heart failure, Atrioventricular block

C.   Heart failure, Atrioventricular block, Tremor

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

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

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

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

A.   Pulsating headaches on one side of the head

B.   A decreased resistance to urinary outflow

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

D.   A rapid heart rhythm

A.   Hypertension

B.   Atrial fibrillation

C.   Hypothyroidism

D.   Renal calculi

A.   Bounding radial pulse

B.   Pulse 62

C.   Irregular apical pulse

D.   Wheezing bilaterally

A.   Check the patient's blood pressure.

B.   Administer activated charcoal.

C.   Administer the vasopressor antidote.

D.   Auscultate breath sounds.

A.   Digoxin

B.   Epinephrine

C.   Insulin

D.   Sildenafil

A.   Obtaining a normal saline flush

B.   Refilling the patient’s water pitcher

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

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

A.   Assess the heart rate before administration.

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

C.   Maintain the patient’s intake and output.

D.   Make sure the patient is on telemetry monitoring.

A.   Tamsulosin

B.   Terazosin

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.   Obtain a blood glucose level.

B.   Offer the patient a cup of orange juice.

C.   Check blood pressure in sitting and lying positions.

D.   Take apical pulse for 1 full minute.

A.   Assess the patient’s lungs.

B.   Call the health care provider.

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

D.   Teach the patient about beta blockers.

A.   "What medications are you currently taking?"

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

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

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

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

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

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

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.   Throbbing headaches

B.   Severe hypotension

C.   Shoulder pain

D.   Hypertensive episodes

A.   2.7 mg

B.   4.1 mg

C.   4.5 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.   Monitor blood pressure while on this medication. 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.   Dose adjustment may be needed for the older adult. Drowsiness is a sign of toxicity. Change positions quickly to avoid headache.

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

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

C.   Insomnia, Chest pain, Palpitations, Excessive agitation

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

A.   Tachycardia

B.   Bronchodilation

C.   Increased urinary flow

D.   Increased blood pressure

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 reports no difficulty breathing or shortness of breath.

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

A.   Electrocardiogram changes

B.   Potassium level 4.1

C.   Blood pressure 120/70 mm Hg

D.   Sodium level 140 mEq/mL

A.   Encouraging the patient to ambulate in the hallway

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

C.   Listening for the patient’s apical pulse

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

A.   Induced peripheral vasoconstriction

B.   Reduced myocardial contractility

C.   Induced peripheral vasodilation

D.   Reduced myocardial stimulation

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.   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.