Chapter 16 my lab

A client is given tamsulosin​ (Flomax) for benign prostatic hyperplasia​ (BPH). The nurse knows that the action of this drug is due to selective blockade of which​ receptor?

Alpha1

A client diagnosed with hypertension is prescribed carvedilol​ (Coreg) and complains of dizziness and faintness immediately after taking this medication. The nurse knows that this effect is due to the action of which​ receptors?

Alpha1​, beta1​, and beta2 receptors

A client reports feeling lightheaded and dizzy with palpitations after being instructed to increase the dose of a prescribed​ beta-adrenergic antagonist. How should the nurse respond to this​ client's symptoms?

"This is​ first-dose phenomenon." ​"If the dose is increased​ again, take the medication at​ bedtime."

A client asks the​ nurse, "What would happen if I stop taking propranolol​ (Inderal)?" Which response by the nurse is the most​ appropriate?

"You could start sweating and have​ palpitations." ​"You could get a​ headache."

A client diagnosed with hypertension is prescribed atenolol​ (Tenormin). The nurse knows that this medication is a selective beta1 blocker and can be safely used for clients with which concurrent​ diagnosis?

Asthma

The nurse should question an order for propranolol​ (Inderal) in treatment of hypertension when the client has which associated​ disorders?

Asthma Hyperlipidemia

A client is to be treated for an overdose of propranolol​ (Inderal). Which medications should the nurse anticipate being​ used?

Atropine Digoxin Isoproterenol

Which symptom is the client who is prescribed alpha1​-antagonist therapy likely to complain of within the first 24​ hours?

Attacks of dizziness and faintness

Phentolamine is an antidote used for treating hypertensive emergencies caused by catecholamine overdose because it blocks which type of​ receptors?

Both alpha1 and alpha2 receptors

The nurse is preparing a care plan for an older adult client diagnosed with hypertension who is prescribed prazosin​ (Minipress) 1 mg 2 times a day. Which instructions should the nurse include in the care plan for this​ client?

Client must be recumbent for 3 to 4 hours if the first dose is given during the daytime. The first dose should be given at bedtime. Monitor for​ drug-related side effects such as​ dizziness, fatigue, and weakness.

The nurse is evaluating a​ client's response to a newly prescribed adrenergic agonist. Which assessment findings does the nurse anticipate this client will​ exhibit?

Decreased heart rate Increased peristalsis Increased salivation

A client is prescribed an alpha1 antagonist for blood pressure control. When instructing the​ client, the nurse will include that this medication performs which​ action?

Dilates veins. Blocks alpha1 receptors on arterial smooth muscle.

For which symptoms should the nurse teach the client to monitor when taking doxazosin​ (Cardura)?

Dizziness and headache

Prazosin​ (Minipress) is prescribed for a hypertensive client. Which measure should be used by the nurse to prevent the​ first-dose phenomenon?

Give initial low doses at bedtime.

The nurse is preparing discharge instructions for a client who is prescribed an adrenergic antagonist. What should be included in this​ teaching?

How to measure pulse How to measure blood pressure Weighing self​ daily, at the same time each day Notifying the healthcare provider about a weight gain or loss of 2 lb in one day

The nurse learns that a client has been taking a​ beta-adrenergic antagonist but does not know why. For which disease processes should the nurse focus assessment with this​ client?

Hypertension Dysrhythmias Angina pectoris Glaucoma

A client is prescribed alfuzosin​ (Uroxatral) for benign prostatic hyperplasia​ (BPH). The nurse should anticipate which intended effect of this​ drug?

Increased frequency of urinary excretion

An older client who is prescribed terazosin​ (Hytrin) for treatment of benign prostatic hyperplasia​ (BPH) asks the nurse the reason why this drug should initially be taken at bedtime. On which rationale will the nurse base the response to the​ client?

It can cause a sudden fall in blood pressure.

Which medication should the nurse anticipate to be prescribed for a client with asthma and​ hypertension?

Metoprolol​ (Lopressor)

A client is seen in the clinic for migraine headaches. The nurse anticipates that which medication might be prescribed as a prophylaxis for​ migraines?

Propranolol​ (Inderal)

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 which​ result?

Rebound chest pain or heart attack

A client with hypertension is prescribed a beta blocker. The effects that this medication will have on the​ client's blood pressure are due to which​ factors?

Reduced release of renin Reduced myocardial contractility Relaxed arteriole smooth muscle Reduced sympathetic output from the brain

An older adult client who is taking doxazosin​ (Cardura) for hypertension is given a prescription of sildenafil​ (Viagra) for erectile dysfunction. The nurse should caution the client about which​ effect?

Sildenafil will potentiate the hypotensive effects of doxazosin.

A client is prescribed sotalol​ (Betapace) for a cardiac dysrhythmia. The nurse knows that sotalol​ (Betapace) is used in this client because it performs which​ action?

Slows the travel of impulses across the myocardium.

The nurse is concerned that a client who received a dose of phentolamine​ (Regitine) is experiencing adverse effects. Which assessment findings support​ this?

Tachycardia Nausea Hypotension Vomiting

In preparing a teaching plan for a client who is on acebutolol​ (Sectral), the nurse should include which​ instructions?

Take the radial pulse before each dose and report any irregular pulse. Report​ cold, painful, or tender feet or hands to your healthcare provider. This drug must not be stopped abruptly but must be taken regularly.

Prior to administering a newly prescribed order for metoprolol​ (Toprol), the nurse reviews the​ client's medications and decides to question the order for which​ reason?

The client is also prescribed a calcium channel blocker. The client is already taking an antihypertensive medication. The client is using cimetidine. The client is taking oral contraceptives.

Which instruction should the nurse include in the discharge teaching plan of a client being treated with propranolol​ (Inderal) for​ angina?

​"Do not stop taking this medication without talking to your healthcare​ provider.