chapter 31

The nurse is caring for a 55-year-old client receiving metoprolol PO. What statement should lead the nurse to believe that the client needs additional instruction?

"I can take over-the-counter cold medication, provided I don't exceed recommended doses."

A nurse is working with a client who is prescribed propranolol. While assessing the client's health history, what statement should the nurse prioritize for follow-up?

"I started taking Di huang supplements a few weeks ago on the advice of my naturopath."

The nurse provides client teaching for a client who has a new order for nadolol to treat hypertension. What statement by the client would indicate that the teaching has been effective?

"I won't stop taking this drug abruptly and will talk to my doctor first."

The nurse is discharging a 35-year-old client with diabetes who has been prescribed an adrenergic blocking agent. What is the priority teaching point for the nurse to discuss with this client?

"Monitor blood glucose levels closely and report any instability."

The nurse is caring for several clients who are being treated with adrenergic antagonists. Which client is most likely to benefit from the administration of

A 76-year-old male client with urinary hesitation and nocturia

For which client with hypertension would bisoprolol be the drug of choice?

A 79-year-old client who has poor nutritional status

A 23-year-old client presents at the clinic with a migraine headache. What beta-adrenergic blocking agent will best prevent future migraine headaches?

A) Propranolol

A client is prescribed metoprolol extended-release PO. What assessment finding would suggest an exacerbation of the client's underlying diagnosis?

Adventitious breath sounds

The nurse is caring for a client who is taking an adrenergic blocking agent. What assessment would be among the nurse's priorities?

heart rate

Before administering a client's prescribed nonselective adrenergic blocker, what should the nurse assess?

pulse and bp

The nurse is caring for an older adult client who has just been prescribed metoprolol 75 mg PO b.i.d. What nursing diagnosis should the nurse prioritize in this client's immediate care?

risk for falls

A 75-year-old male client is being treated for angina. He was started on nadolol, but the client questions this, asking, "Why am I taking a blood pressure pill if I don't have high blood pressure?" What is the nurse's best response?

"Some beta-blockers have been approved as antianginal agents."

The nurse is caring for a client who has hypertension and who is being treated with propranolol PO. The nurse administered a scheduled dose of the medication at 08:00. When should the nurse best assess for the intended change in blood pressure?

9;15

In what client would the use of labetalol most likely be contraindicated?

A 45-year-old client with asthma

The intensive care nurse is caring for a client in a hypertensive crisis. The client has just been given labetalol 20 mg IV with no appreciable drop in the client's blood pressure. What is the nurse's best action?

Administer another dose in 10 minutes, as prescribed.

What prescriptions, if ordered for an 8-year-old client, should the nurse question? Select all that apply.

Amiodarone 400 mg orally per 24 hours B) Labetalol 100 mg orally b.i.d. Carvedilol 6.25 mg orally b.i.d.

The labor and delivery nurse assists with the delivery of a newborn to a woman taking an adrenergic blocker for a congenital heart defect. What assessments should the nurse perform in order to identify possible effects in the neonate? Select all that apply.

Auscultate the neonate's heart rate. B) Auscultate the neonate's lungs. C) Assess the neonate's reflexes and neurologic status.

A 64-year-old client has smoked since age 15 and has been diagnosed with chronic obstructive pulmonary disease. What classification of adrenergic blocking antagonist would be safest for this client to treat angina?

Beta1-selective adrenergic blocking agents

The nurse is caring for a client with essential hypertension whose provider has just prescribed metoprolol 100 mcg PO b.i.d. What is the nurse's best initial action?

C) Contact the care provider to clarify the dose.

A nurse is providing discharge instructions to a client who is taking atenolol to treat hypertension. What aspect of this client's drug therapy may indicate a potential drug-drug interaction?

Ibuprofen

The nurse is caring for a 64-year-old client with diabetes who is being treated with a nonselective beta-blocker. What health education should the nurse prioritize with this client?

Identifying the signs and symptoms of hypo- or hyperglycemic reactions

The home care nurse is providing teaching for a 59-year-old client taking a nonselective beta-blocker. The nurse teaches the client the importance of notifying the prescribing physician when what occurs related to this medication?

If the client's pulse is ≤ 60 beats/min on consecutive days

The nurse administers an adrenergic blocking agent to a client. When assessing the client after administration, the nurse should expect evidence of what physiologic effect?

Inhibition of norepinephrine release

A client with a long-standing history of hypertension has recently given birth to a healthy neonate. The client is planning to resume her prepregnancy regimen with an adrenergic blocker and is planning to breast-feed her infant. What health education should be provided to this client?

It will likely be necessary for the client to use an alternative form of infant feeding.

What agents are used primarily to treat cardiac-related conditions? Select all that apply.

Nonselective beta-adrenergic blocking agents E) Beta1-selective adrenergic blocking agents Nonselective adrenergic blocking agents

A 5-year-old African American client has been admitted to the pediatric intensive care unit prior to surgery. The nurse learns that the client will likely be administered phentolamine during surgery. What is the client's most likely diagnosis?

Pheochromocytoma

The nurse is caring for a public speaker who has developed severe stage fright that is preventing them from working. What drug should the nurse suspect may be prescribed for this client?

Propranolol

A client has been prescribed propranolol to reduce and prevent angina. For what adverse effects should the nurse assess this client? Select all that apply.

Sleep disturbance B) Sexual dysfunction C) Bronchospasm D) Gastric pain

The home care nurse is caring for a client newly prescribed a nonselective beta-blocking agent. What should the nurse include in the teaching plan related to this drug? Select all that apply.

Take with meals. B) Change position slowly. C) Avoid driving or operating hazardous machinery.

A client has been prescribed tamsulosin 0.5 mg PO daily. What assessment finding most clearly indicates that the medication is having the desired effect?

The client denies urinary hesitation or frequency.

A client with hypertension has been administered the first prescribed dose of propranolol 45 minutes ago. What assessment finding should the nurse interpret as a possible indication of adverse effects?

The client is uncharacteristically short of breath on exertion

What assessment finding indicates to the nurse that treatment with timolol has been effective?

The client's intraocular pressure is reduced.

A client has been referred after an optometric examination that indicated a possibility of increased intraocular pressure. The nurse should anticipate a prescription for what medication?

Timolol