A.   Hypertension

B.   Migraine headaches

C.   Thrombocytopenia

D.   Type 1 diabetes

A.   Blood vessel

B.   Heart

C.   Tissue

D.   Muscle

A.   Phenoxybenzamine

B.   Phentolamine

C.   Tamsulosin

D.   Propranolol

A.   Subcutaneous

B.   Oral

C.   Intravenous

D.   Intradermal

A.   Nonselective beta-blockers

B.   Cardioselective beta1-blockers

C.   Beta2-blockers

D.   Alpha-blockers

A.   May cause diarrhea

B.   May cause tachycardia

C.   Should not be withdrawn abruptly but tapered over 1 to 2 weeks

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

A.   2 to 4 hours

B.   2.5 to 4 hours

C.   6 to 20 hours

D.   3 to 6 hours

A.   Heart failure

B.   Drug allergy

C.   Pregnancy

D.   Raynaud’s disease

A.   Increased blood glucose levels

B.   Enhanced effect of anticholinergics

C.   Reduced beta-blocker effect

D.   Prolonged neuromuscular blockade

A.   Metoprolol

B.   Esmolol

C.   Propranolol

D.   Carvedilol

A.   Decreased effect of the antacid

B.   Decreased beta-blocker activity

C.   Increased effect of the antacid

D.   Increased beta-blocker activity

A.   Decreased activity of the beta blocker

B.   Increased activity of the antacid

C.   Increased activity of the beta blocker

D.   Decreased activity of the antacid

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

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

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

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

A.   Propranolol

B.   Carvedilol

C.   Esmolol

D.   Metoprolol

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.   Take aspirin for abdominal pain.

B.   Increase intake of fluids and fiber.

C.   Sleep supine to prevent vomiting.

D.   Abdominal distention is likely.

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.   Toxicity

B.   Anaphylaxis

C.   Overdosage

D.   Extravasation

A.   Document this information and notify the nursing supervisor.

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

C.   Contact the prescribing health care provider.

D.   Monitor the patient closely for any additional symptoms.

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

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

A.   Measure both supine and standing blood pressures.

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

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

D.   Count the radial pulse for 1 full minute.

A.   Migraine, Heart failure, Atrioventricular block

B.   Tremor, Migraine, Hypertension

C.   Heart failure, Atrioventricular block, Tremor

D.   Heart failure, Hypertension, Atrioventricular block

A.   Syringe for intramuscular injection

B.   Syringe for subcutaneous injection

C.   Normal saline for infusion

D.   Intravenous (IV) start kit

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

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

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

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

A.   A decreased resistance to urinary outflow

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

C.   Pulsating headaches on one side of the head

D.   A rapid heart rhythm

A.   Hypothyroidism

B.   Hypertension

C.   Atrial fibrillation

D.   Renal calculi

A.   Irregular apical pulse

B.   Bounding radial 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.   Sildenafil

B.   Insulin

C.   Epinephrine

D.   Digoxin

A.   Obtaining a normal saline flush

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

C.   Refilling the patient’s water pitcher

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

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

B.   Make sure the patient is on telemetry monitoring.

C.   Assess the heart rate before administration.

D.   Maintain the patient’s intake and output.

A.   Phenoxybenzamine

B.   Terazosin

C.   Tamsulosin

D.   Phentolamine

A.   BP 150/85, P 90, RR 20

B.   BP 90/50, P 110, RR 18

C.   BP 120/70, P 60, RR 16

D.   BP 170/90, P 85, RR 18

A.   Obtain a blood glucose level.

B.   Check blood pressure in sitting and lying positions.

C.   Take apical pulse for 1 full minute.

D.   Offer the patient a cup of orange juice.

A.   Teach the patient about beta blockers.

B.   Assess the patient’s lungs.

C.   Call the health care provider.

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

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

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

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

D.   "What medications are you currently taking?"

A.   Norepinephrine

B.   Labetalol

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

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

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

A.   Do not sit in saunas alone. Take hot showers instead of baths. 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.   Take hot showers instead of baths. Avoid hot climates as much as possible. 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.   Shoulder pain

B.   Severe hypotension

C.   Throbbing headaches

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, Heart rate 70 beats/min, Palpitations, Excessive agitation

B.   Insomnia, Chest pain, Palpitations, Excessive agitation

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

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.   Decreased activity of the beta-blocker drug

C.   Enhanced activity of the beta-blocker drug

D.   Masked signs of hypoglycemia

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

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

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

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

A.   Blood pressure 120/70 mm Hg

B.   Sodium level 140 mEq/mL

C.   Electrocardiogram changes

D.   Potassium level 4.1

A.   Listening for the patient’s apical pulse

B.   Encouraging the patient to ambulate in the hallway

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

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

A.   Reduced myocardial contractility

B.   Induced peripheral vasoconstriction

C.   Reduced myocardial stimulation

D.   Induced peripheral vasodilation

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

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