Deck 20: Adrenergic Antagonists

Question 1

Which of the following instructions should the nurse give to a client who is prescribed metoprolol for hypertension? Select all that apply.
1)Take the drug late in the evening to be more effective.
2)Monitor the blood glucose frequently.
3)Obtain daily weights, and report any weight gains.
4)Avoid potentially hazardous activities until response to the drug is known.
5)Stop the drug immediately if dizziness and headaches persist.

Answer 1

2, 3, 4

Question 2

Which symptom is the client on alpha-1 antagonist therapy likely to complain of within the first 24 hours?
1)Blurring of vision
2)Attacks of dizziness and faintness
3)Difficulty swallowing
4)Decreased urinary frequency

Answer 2

1

Question 3

The nurse is preparing a care plan for an elderly client diagnosed with hypertension who is prescribed prazosin (Minipress)1 mg 2-3 times a day.What instructions should the nurse include in the care plan for this client? Select all that apply.
1)The first dose should be given at bedtime.
2)Client must be recumbent for 3-4 hours if the first dose is given during the daytime.
3)Monitor for drug-related side effects like dizziness, fatigue, and weakness.
4)This drug decreases urinary output and causes urinary retention.
5)This drug can cause severe constipation, and so a high-fiber diet is advisable.

Answer 3

3

Question 4

The nurse should question an order for propranolol (Inderal)in treatment of hypertension when the client has which one of the following associated disorders? Select all that apply.
1)Asthma
2)Hyperlipidemia
3)Dysrhythmias
4)Liver failure
5)Angina pectoris

Question 5

A client is to be treated for an overdose of propranolol (Inderal).Which of the following medications should the nurse anticipate being used? Select all that apply.
1)Prazosin
2)Atropine
3)Isoproterenol
4)Digoxin
5)Metoprolol

Question 6

Which prescription should the nurse anticipate for an asthmatic client who is hypertensive?
1)Propranolol (Inderal)
2)Nadolol (Corgard)
3)Metoprolol (Lopressor)
4)Sotalol (Betapace)

Question 7

A client diagnosed with hypertension is prescribed atenolol (Tenormin).The nurse knows that atenolol (Tenormin)is a selective beta-1 blocker, and can be safely used for clients with which of the following diagnoses?
1)Asthma
2)Heart failure
3)Diabetes
4)Hepatic disease

Question 8

A nurse is to give sotalol (Betapace)to a client for a cardiac dysrhythmia.The nurse knows that sotalol (Betapace)is used in this client because it:
1)Slows the travel of impulse across the myocardium.
2)Diminishes myocardial contractility.
3)Increases secretion of renin from the kidneys.
4)Increases sympathetic output from the vasomotor center in the brain.

Question 9

In preparing a teaching plan for a client who is on acebutolol, the nurse should include which of the following instructions? Select all that apply.
1)Take the radial pulse before each dose, and report any irregular pulse.
2)This drug must not be stopped abruptly, but must be taken regularly.
3)If you miss a dose, take a double dose next time.
4)Stop the medication completely if dizziness or headache occurs.
5)Report cold, painful, or tender feet or hands to your health care provider.

Question 10

To which one of the following signs of hypoglycemia should the nurse immediately respond when it is exhibited by a diabetic client who is prescribed metoprolol (Lopressor)?
1)Tachycardia and change in BP
2)Sweating, fatigue, and hunger
3)Increase in temperature
4)Increased frequency of urination

Question 11

Prazosin (Minipress)is given to a client for treating high blood pressure.Which measure should be used by the nurse to prevent the first-dose phenomenon?
1)Give initial high dosage and then lower gradually.
2)Give initial low doses at bedtime.
3)Give the dosage with meals.
4)Give the dosage early in the morning before breakfast.

Question 12

A client prescribed propranolol (Inderal)for angina asks the nurse why this drug should not be abruptly discontinued.The nurse would be correct in telling the client that abrupt withdrawal could lead to:
1)Extreme weight loss.
2)Rebound chest pain or heart attack.
3)Increase in blood glucose levels.
4)Insomnia.

Question 13

A 65-year-old client who is on terazosin (Hytrin)for treatment of benign prostatic hypertrophy asks the nurse the reason why this drug should be taken at bedtime initially.The nurse would be correct saying that the first dose of this medication can:
1)Cause a sudden fall in blood pressure.
2)Depress the vasomotor center in the brain.
3)Reduce the formation of urine at bedtime.
4)Decrease the blood supply to the kidneys.