A.   Thrombocytopenia

B.   Hypertension

C.   Migraine headaches

D.   Type 1 diabetes

A.   Heart

B.   Tissue

C.   Blood vessel

D.   Muscle

A.   Tamsulosin

B.   Propranolol

C.   Phentolamine

D.   Phenoxybenzamine

A.   Subcutaneous

B.   Intradermal

C.   Oral

D.   Intravenous

A.   Alpha-blockers

B.   Cardioselective beta1-blockers

C.   Nonselective beta-blockers

D.   Beta2-blockers

A.   May cause diarrhea

B.   Should not be withdrawn abruptly but tapered over 1 to 2 weeks

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

D.   May cause tachycardia

A.   6 to 20 hours

B.   2 to 4 hours

C.   2.5 to 4 hours

D.   3 to 6 hours

A.   Heart failure

B.   Raynaud’s disease

C.   Pregnancy

D.   Drug allergy

A.   Increased blood glucose levels

B.   Prolonged neuromuscular blockade

C.   Enhanced effect of anticholinergics

D.   Reduced beta-blocker effect

A.   Propranolol

B.   Esmolol

C.   Metoprolol

D.   Carvedilol

A.   Increased effect of the antacid

B.   Decreased beta-blocker activity

C.   Increased beta-blocker activity

D.   Decreased effect of the antacid

A.   Decreased activity of the antacid

B.   Decreased activity of the beta blocker

C.   Increased activity of the antacid

D.   Increased activity of the beta blocker

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

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

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

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

A.   Esmolol

B.   Metoprolol

C.   Propranolol

D.   Carvedilol

A.   An allergic reaction to the medication

B.   An expected side effect of this group of medications

C.   An unexpected adverse reaction to the medication

D.   An overdosage of the medication

A.   Increase intake of fluids and fiber.

B.   Sleep supine to prevent vomiting.

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.   Overdosage

B.   Toxicity

C.   Extravasation

D.   Anaphylaxis

A.   Monitor the patient closely for any additional symptoms.

B.   Contact the prescribing health care provider.

C.   Document this information and notify the nursing supervisor.

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

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.   Espresso

B.   Wheat

C.   Green, leafy vegetables

D.   Red meat

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

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

A.   Count the radial pulse for 1 full minute.

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

C.   Measure both supine and standing blood pressures.

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

A.   Heart failure, Hypertension, Atrioventricular block

B.   Migraine, Heart failure, Atrioventricular block

C.   Heart failure, Atrioventricular block, Tremor

D.   Tremor, Migraine, Hypertension

A.   Syringe for intramuscular injection

B.   Syringe for subcutaneous injection

C.   Normal saline for infusion

D.   Intravenous (IV) start kit

A.   "There’s no need to stop smoking while I’m on this 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.   "One glass of red wine with meals will not interfere with the medication."

A.   A rapid heart rhythm

B.   Pulsating headaches on one side of the head

C.   A decreased resistance to urinary outflow

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

A.   Hypertension

B.   Renal calculi

C.   Atrial fibrillation

D.   Hypothyroidism

A.   Wheezing bilaterally

B.   Bounding radial pulse

C.   Irregular apical pulse

D.   Pulse 62

A.   Administer the vasopressor antidote.

B.   Auscultate breath sounds.

C.   Administer activated charcoal.

D.   Check the patient's blood pressure.

A.   Sildenafil

B.   Digoxin

C.   Insulin

D.   Epinephrine

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

B.   Refilling the patient’s water pitcher

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

D.   Obtaining a normal saline flush

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

B.   Maintain the patient’s intake and output.

C.   Make sure the patient is on telemetry monitoring.

D.   Assess the heart rate before administration.

A.   Tamsulosin

B.   Phentolamine

C.   Terazosin

D.   Phenoxybenzamine

A.   BP 90/50, P 110, RR 18

B.   BP 120/70, P 60, RR 16

C.   BP 170/90, P 85, RR 18

D.   BP 150/85, P 90, RR 20

A.   Offer the patient a cup of orange juice.

B.   Obtain a blood glucose level.

C.   Check blood pressure in sitting and lying positions.

D.   Take apical pulse for 1 full minute.

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

B.   Call the health care provider.

C.   Assess the patient’s lungs.

D.   Teach the patient about beta blockers.

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

B.   "What medications are you currently taking?"

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

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

A.   Phentolamine

B.   Norepinephrine

C.   Doxazosin

D.   Labetalol

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

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

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

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

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

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. Avoid hot climates as much as possible. Exercise during daylight hours between noon and 3 pm.

A.   Severe hypotension

B.   Throbbing headaches

C.   Hypertensive episodes

D.   Shoulder pain

A.   4.5 mg

B.   2.7 mg

C.   3.2 mg

D.   4.1 mg

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

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

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

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

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

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

C.   Insomnia, Chest pain, Palpitations, Excessive agitation

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

A.   Increased blood pressure

B.   Bronchodilation

C.   Increased urinary flow

D.   Tachycardia

A.   Masked signs of hypoglycemia

B.   Enhanced activity of the beta-blocker drug

C.   Decreased activity of the beta-blocker drug

D.   Masked signs of hyperglycemia

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

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

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

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

A.   Potassium level 4.1

B.   Electrocardiogram changes

C.   Blood pressure 120/70 mm Hg

D.   Sodium level 140 mEq/mL

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

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

C.   Listening for the patient’s apical pulse

D.   Encouraging the patient to ambulate in the hallway

A.   Induced peripheral vasodilation

B.   Induced peripheral vasoconstriction

C.   Reduced myocardial stimulation

D.   Reduced myocardial contractility

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

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