A Beta Blocker Is Prescribed for a Patient With Angina The Nurse Reviews
Beta blockers NCLEX questionsfor nursing students!
Beta blockersare medications used to assist lower the claret pressure, treat angina, and care for cardiac dysrhythmias. The nurse should be aware of how the drug works, why it is ordered, nursing implications, adverse reactions, and how to teach the patient how to have the medication.
This quiz is role of a pharmacology NCLEX question review series and will include diverse medications. This series will test your knowledge on nursing implications, side furnishings, patient teaching, therapeutic furnishings, and more than.
Don't forget to watch the lecture on beta blockers before taking this quiz.
Beta Blockers NCLEX Questions
This quiz will test your knowledge on beta blockers for pharmacology in nursing school.
(NOTE: When you hit submit, information technology volition refresh this aforementioned folio. Coil down to see your results.)
Beta Blockers NCLEX Questions
1. A patient is prescribed a beta blocker for a cardiac condition. You know this medication blocks the beta receptors in the torso and so ____________ and __________ cannot bind to the receptor site and elicit a _______ ________ _________ response.
A. angiotensin Two and angiotensin I; sympathetic nervous arrangement
B. dopamine and norepinephrine; parasympathetic nervous organization
C. norepinephrine and epinephrine; sympathetic nervous organisation
D. dopamine and acetylcholine; parasympathetic nervous system
The answer is C. Beta blockers block the beta receptors in the body then norepinephrine and epinephrine cannot bind to the receptor site and elicit a sympathetic nervous arrangement response.
2. Beta 1 receptors can be found in the? Select all that apply:
A. GI tract
B. Uterus
C. Heart
D. Lungs
Due east. Kidneys
F. Vascular shine muscle
The answers are C and East. Beta 1 receptors can be constitute in the HEART and KIDNEYS.
iii. Beta 2 receptors tin can be establish in the? Select all that apply:
A. Heart
B. Lungs
C. GI system
D. Kidneys
Due east. Vascular polish muscle
F. Skeletal muscle
The answers are B, C, E, and F. Beta 2 receptors can be found in the lungs (bronchioles), GI system, vascular smooth musculus, skeletal muscle and even the ciliary body of the eye (not listed).
4. A patient is admitted with a dysrhythmia. The medico prescribes Propranolol. Which statement past the patient requires the nurse to hold the ordered dose and notify the physician for farther orders?
A. "I apply an inhaler at dwelling house for asthma."
B. "My heart feels like it is racing, and I experience very weak."
C. "I had caffeine this morning with breakfast."
D. "I smoke 2 packs of cigarettes per day."
The reply is A. Propranolol is a nonselective beta blocker. Therefore, it affects beta 1 and beta 2 receptors. Beta two receptors are found in the lungs (specifically the bronchioles). This medication could cause bronchoconstriction in patients with asthma or COPD and should be avoided. Selective beta blockers (Atenolol, Esmolol, Metorprolol) block only beta 1 (which are found in the heart and kidneys). Therefore, they are less likely to crusade bronchoconstriction.
five. Select all the beta blocker medications listed below that bear upon ONLY beta one receptors:
A. Timolol
B. Atenolol
C. Metoprolol
D. Esmolol
The answers are B, C, D. Atenolol, Metoprolol, and Esmolol are selective and affect ONLY beta 1 receptors, which are establish in the eye and kidneys. Timolol is a nonselective beta blocker and affects both beta 1 and beta 2 receptors.
half-dozen. At 1000 your patient is scheduled to take a dose of Atenolol. What finding beneath would crave you to concord the scheduled dose and notify the doc?
A. The patient'southward middle rate is 120 beats per minute.
B. The patient's blood pressure is 102/76.
C. The patient has swelling in lower extremities, dyspnea, and crackles in lung fields.
The reply is C. In option C, the patient is showing signs and symptoms of uncompensated center failure (beta blockers are not used when uncompensated heart failure presents, but they can be sometimes be used when the patient is in compensated/stable eye failure). The reason is considering beta blockers wearisome down the heart charge per unit and decrease the forcefulness of contractions (negative inotropic effect), which can lead to heart failure in SOME patients, and this is why the nurse must monitor for this.
7. A patient with diabetes and hypertension is beingness discharged domicile. The patient will exist taking Sotalol and insulin per sliding scale. Which statement by the patient demonstrates they did NOT sympathise your discharge instructions most the side furnishings of Sotalol?
A. "This medication tin bear upon my blood glucose levels."
B. "I will monitor my center rate and blood pressure everyday while taking this medication."
C. "While taking this medication I will monitor for a fast heart rate because this is an early indication that my blood glucose level is low."
D. "I will report to my doctor if I develop shortness of breath, weight proceeds, or swelling in my feet."
The respond is C. Beta blockers can prevent tachycardia (increased heart rate). An increased middle rate is a sign for most diabetics that they are experiencing a low blood glucose level. Therefore, the patient who is taking beta blocker (especially a nonselective blazon) needs to exist re-educated that a fast heart charge per unit is Not a reliable fashion of determining hypoglycemia and should check their blood glucose regularly.
8. Which category of beta blockers cake beta 1 and beta 2 receptors?
A. Selective beta blockers
B. Nonselective beta blockers
The answer is B. Nonselective beta blockers BLOCK beta 1 and beta 2…therefore they're non selective. Selective beta blockers block Simply beta 1 receptors and are sometimes referred to as cardioselective.
ix. A patient is prescribed Metoprolol. Which statement by the patient requires the nurse to re-educate the patient on how to take the medication properly?
A. "After I cease taking this medication I will let my physician know."
B. "I take this medication with my breakfast every morning."
C. "I will change positions slowly while I'one thousand taking this medication."
D. "While I'm taking this medication I will monitor my centre rate."
The answer is A. The patient should NOT just cease taking the medication. Information technology must be tapered off over a period of time (normally about 2 weeks). This volition prevent the development of rebound hypertension, myocardial ischemia, and angina.
10. What signs and symptoms below would demonstrate a patient is experiencing an overdose of a beta blocker medication? Select all that apply:
A. Blood pressure 200/110
B. Heart rate 35 beats per minute
C. EKG shows atrial fibrillation with rapid ventricular charge per unit (RVR)
D. Patient is maniac and agitated
E. Dyspnea
F. Patient is severely drowsy
G. EKG shows third degree AV block
The answers are B, Eastward, F, and 1000. Signs and symptoms of beta blocker overdose would be the reverse of the effects of the sympathetic nervous organisation. Beta blockers slow downwards the heart rate (overdose: severe bradycardia…heart rate of 35 and heart block 2nd or 3rd degree), decrease claret pressure (overdose: severe hypotension), and severely drowsy (due to very tedious heart charge per unit and decreased cardiac output to the brain).
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