Question 1

Indicate the appropriate medication in the top list for each condition listed in the lower list.
-Glaucoma

Accepted Answer

A) An a-blocker drug 
B) A b-blocker drug 
C) Both an a-blocker drug and a b-blocker drug 
A) An a-blocker drug 
B) A b-blocker drug 
C) Both an a-blocker drug and a b-blocker drug B

Question 2

A patient has been on a dopamine drip,and the nurse notices that the infusion has extravasated into the tissue of the forearm.After stopping the infusion,the nurse immediately injects phentolamine into the interstitial catheter.What is the effect of this action?

Accepted Answer

A) It causes vasoconstriction and rapid uptake of the extravasated dopamine. 
B) It causes arterial vasoconstriction and reduced pain and swelling at the site. 
C) It increases peripheral vascular resistance and reduces arterial pressure at the site. 
D) It increases blood flow to the ischemic site by vasodilation and prevents permanent tissue damage. 
A) It causes vasoconstriction and rapid uptake of the extravasated dopamine. 
B) It causes arterial vasoconstriction and reduced pain and swelling at the site. 
C) It increases peripheral vascular resistance and reduces arterial pressure at the site. 
D) It increases blood flow to the ischemic site by vasodilation and prevents permanent tissue damage. D

Question 3

Which $\beta$-blocker is indicated for the treatment of heart failure?

Accepted Answer

A) atenolol (Tenormin) 
B) carvedilol 
C) acebutolol (Sectral) 
D) esmolol (Brevibloc) 
A) atenolol (Tenormin) 
B) carvedilol 
C) acebutolol (Sectral) 
D) esmolol (Brevibloc) B

Question 4

A patient has received a prescription for prazosin (Minipress)to reduce urinary obstruction due to benign prostatic hyperplasia (BPH).What important information about this medication should the nurse give this patient?

Accepted Answer

A) Fluids should be restricted while on this medication. 
B) Take the medication with breakfast to promote the maximum effects of the drug. 
C) Until a tolerance is built up, lightheadedness may occur when standing up after sitting or lying down. 
D) Blood pressure should be monitored because the medication may cause hypertension due to vasoconstriction. 
A) Fluids should be restricted while on this medication. 
B) Take the medication with breakfast to promote the maximum effects of the drug. 
C) Until a tolerance is built up, lightheadedness may occur when standing up after sitting or lying down. 
D) Blood pressure should be monitored because the medication may cause hypertension due to vasoconstriction.

Question 5

Indicate the appropriate medication in the top list for each condition listed in the lower list.
-Migraine headaches

Accepted Answer

A) An $\alpha$-blocker drug 
B) A $\beta$-blocker drug 
C) Both an $\alpha$-blocker drug and a $\beta$-blocker drug 
A) An $\alpha$-blocker drug 
B) A $\beta$-blocker drug 
C) Both an $\alpha$-blocker drug and a $\beta$-blocker drug

Question 6

Which drug is used to help establish the diagnosis of pheochromocytoma?

Accepted Answer

A) prazosin (Minipress) 
B) phentolamine (Rogitine) 
C) carvedilol 
D) tamsulosin (Flomax) 
A) prazosin (Minipress) 
B) phentolamine (Rogitine) 
C) carvedilol 
D) tamsulosin (Flomax)

Question 7

A female patient has been admitted to the emergency department after an accidental overdose of an $\alpha$-blocker.Her daughter states that her mother called to tell her that she had taken two double doses that morning because the headache "just would not go away." The patient is now dizzy,nauseated,and very weak.What should the nurse do immediately?

Accepted Answer

A) Administer activated charcoal 
B) Force intravenous and oral fluids 
C) Empty the stomach by gastric lavage 
D) Administer a cathartic such as sorbitol 
A) Administer activated charcoal 
B) Force intravenous and oral fluids 
C) Empty the stomach by gastric lavage 
D) Administer a cathartic such as sorbitol

Question 8

The nurse is teaching a patient about self-monitoring while taking a $\beta$-blocker at home.The nurse should teach the patient to measure apical pulse daily for 1 minute.What does the nurse instruct the patient to do if the pulse rate decreases to less than 60 beats per minute?

Accepted Answer

A) Contact the physician for instructions. 
B) Reduce the dose of the b-blocker by half. 
C) Continue the medication, because this is an expected effect. 
D) Skip the medication dose that day and check the pulse again the next day. 
A) Contact the physician for instructions. 
B) Reduce the dose of the b-blocker by half. 
C) Continue the medication, because this is an expected effect. 
D) Skip the medication dose that day and check the pulse again the next day.

Question 9

A 49-year-old male patient is in the clinic for a follow-up visit 6 months after starting a b-blocker for treatment of hypertension.During this visit,his blood pressure is 169/98 mm Hg,and he eventually confesses that he stopped taking this medicine 2 months ago because of an "embarrassing problem." What problem with this medication most likely caused him to stop taking it?

Accepted Answer

A) Urge incontinence 
B) Dizziness when standing up 
C) Excessive flatus 
D) Impotence 
A) Urge incontinence 
B) Dizziness when standing up 
C) Excessive flatus 
D) Impotence

Question 10

A 58-year-old male has had a myocardial infarction (MI).He has begun rehabilitation and is ready for discharge.When he is given a prescription for metoprolol (Lopressor ),he becomes upset and says,"I don't have high blood pressure! Why did my doctor give me this medicine?" What is the nurse's best explanation to the patient?

Accepted Answer

A) This medication prevents emboli that may lead to another MI. 
B) $\beta$-Blockers are routinely prescribed for all post-MI patients. 
C) It is being prescribed to prevent hypertension that often occurs post MI. 
D) Studies have shown that this medication greatly increases survival in post-MI patients. 
A) This medication prevents emboli that may lead to another MI. 
B) $\beta$-Blockers are routinely prescribed for all post-MI patients. 
C) It is being prescribed to prevent hypertension that often occurs post MI. 
D) Studies have shown that this medication greatly increases survival in post-MI patients.

Question 11

A patient is going home with a new prescription for the b-blocker atenolol (Tenormin).What important information should the nurse tell the patient about this drug?

Accepted Answer

A) Never abruptly stop taking this medication. 
B) The medication should be stopped once symptoms subside. 
C) Change positions slowly to prevent or reduce postural hypotension. 
D) Report any weight gain of more than 0.5 kg in a week or any problem with fluid buildup. 
A) Never abruptly stop taking this medication. 
B) The medication should be stopped once symptoms subside. 
C) Change positions slowly to prevent or reduce postural hypotension. 
D) Report any weight gain of more than 0.5 kg in a week or any problem with fluid buildup.

Question 12

Indicate the appropriate medication in the top list for each condition listed in the lower list.
-Benign prostatic hyperplasia

Accepted Answer

A) An $\alpha$-blocker drug 
B) A $\beta$-blocker drug 
C) Both an $\alpha$-blocker drug and a $\beta$-blocker drug 
A) An $\alpha$-blocker drug 
B) A $\beta$-blocker drug 
C) Both an $\alpha$-blocker drug and a $\beta$-blocker drug

Exam 20: Adrenergic-Blocking Drugs

Indicate the appropriate medication in the top list for each condition listed in the lower list. -Glaucoma

A patient has been on a dopamine drip,and the nurse notices that the infusion has extravasated into the tissue of the forearm.After stopping the infusion,the nurse immediately injects phentolamine into the interstitial catheter.What is the effect of this action?

Which β\betaβ -blocker is indicated for the treatment of heart failure?

A patient has received a prescription for prazosin (Minipress)to reduce urinary obstruction due to benign prostatic hyperplasia (BPH).What important information about this medication should the nurse give this patient?

Indicate the appropriate medication in the top list for each condition listed in the lower list. -Migraine headaches

Which drug is used to help establish the diagnosis of pheochromocytoma?

The nurse is teaching a patient about self-monitoring while taking a β\betaβ -blocker at home.The nurse should teach the patient to measure apical pulse daily for 1 minute.What does the nurse instruct the patient to do if the pulse rate decreases to less than 60 beats per minute?

A patient is going home with a new prescription for the b-blocker atenolol (Tenormin).What important information should the nurse tell the patient about this drug?

Indicate the appropriate medication in the top list for each condition listed in the lower list. -Benign prostatic hyperplasia

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

Filters

Which $\beta$ -blocker is indicated for the treatment of heart failure?

The nurse is teaching a patient about self-monitoring while taking a $\beta$ -blocker at home.The nurse should teach the patient to measure apical pulse daily for 1 minute.What does the nurse instruct the patient to do if the pulse rate decreases to less than 60 beats per minute?