TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY
12TH EDITION By Susan M Ford
Chapter 24, Adrenergic Blocking Drugs
1. A client with hypertension is prescribed clonidine. The nurse should question this
order if which disorder is noted in the client's history?
A) Active hepatic disease
B) Active peptic ulcer
C) Ulcerative colitis
D) Mental depression
Answer: A
Rationale: The use of a centrally acting antiadrenergic drug is contraindicated in
clients with active hepatic disease. The use of a centrally acting antiadrenergic
drug is not contraindicated in clients with active peptic ulcer or ulcerative colitis.
In clients with active peptic ulcer, ulcerative colitis, or mental depression, the use
of peripherally acting antiadrenergic drug is contraindicated. It is also
contraindicated if the client is using MAOIs.
Question Format: Multiple Choice
Chapter: 24
Learning Objective: 2
Cognitive Level: Understand
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 297, Centrally and Peripherally Acting Antiadrenergic Drugs
2. A client with a cardiac problem is treated with beta-adrenergic blocking drugs.
Which reaction should the nurse point out as a generalized reaction that impacts
the body when a beta-adrenergic blocking drug is given to the client?
A) Vomiting
B) Hyperglycemia
C) Nausea
D) Vertigo
Answer: D
Rationale: The nurse should identify vertigo as the generalized reaction that
impacts the body when a beta-adrenergic blocking drug is given to the client.
Vomiting, nausea, and hyperglycemia are not generalized reactions; they are
gastrointestinal reactions that are observed when the client is administered
beta-adrenergic blocking drugs.
Question Format: Multiple Choice
Chapter: 24
Learning Objective: 2
Cognitive Level: Understand
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
, Reference: p. 295, Beta-Adrenergic Blocking Drugs
3. A client who is receiving a beta blocker tells the nurse about also taking ibuprofen
for arthritis pain. The nurse would be alert for which reaction?
A) Decreased effect of the beta blocker
B) Increased risk of bradycardia
C) Increased risk of paradoxical hypertensive effect
D) Increase risk of hypotension
Answer: A
Rationale: The nurse should monitor for the decreased effect of the beta blocker
in the client who is receiving a beta blocker along with NSAIDs. The nurse does
not need to monitor for increased risk of bradycardia and paradoxical
hypertensive effect or decreased risk of hypotension. There is an increase in the
risk of paradoxical hypertensive effect when a beta-adrenergic blocking drug is
administered with clonidine. There is an increase in the risk of bradycardia when
a beta-adrenergic blocking drug is administered with antidepressants. There is an
increased risk of hypotension when a beta-adrenergic blocking drug is
administered with loop diuretics.
Question Format: Multiple Choice
Chapter: 24
Learning Objective: 2
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 295, Beta-Adrenergic Blocking Drugs
4. A nurse is caring for a client who has been prescribed propranolol for angina. After
administering the drug, which action would the nurse do?
A) Ask about relief of symptoms and record responses on the chart.
B) Determine signs of infection in the client.
C) Monitor for sudden decrease in urine output.
D) Monitor for sudden increase in intraocular pressure.
Answer: A
Rationale: The nurse should ask about the relief of symptoms and record the
responses on the client's chart. Determining the signs of infection in the client is
part of the nurse's preadministration assessment, not the ongoing assessment.
The nurse does not need to monitor the client for a sudden decrease in urine
output and a sudden increase in intraocular pressure for a client receiving
propranolol therapy for angina.
Question Format: Multiple Choice
Chapter: 24
Learning Objective: 3
Cognitive Level: Apply
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
12TH EDITION By Susan M Ford
Chapter 24, Adrenergic Blocking Drugs
1. A client with hypertension is prescribed clonidine. The nurse should question this
order if which disorder is noted in the client's history?
A) Active hepatic disease
B) Active peptic ulcer
C) Ulcerative colitis
D) Mental depression
Answer: A
Rationale: The use of a centrally acting antiadrenergic drug is contraindicated in
clients with active hepatic disease. The use of a centrally acting antiadrenergic
drug is not contraindicated in clients with active peptic ulcer or ulcerative colitis.
In clients with active peptic ulcer, ulcerative colitis, or mental depression, the use
of peripherally acting antiadrenergic drug is contraindicated. It is also
contraindicated if the client is using MAOIs.
Question Format: Multiple Choice
Chapter: 24
Learning Objective: 2
Cognitive Level: Understand
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 297, Centrally and Peripherally Acting Antiadrenergic Drugs
2. A client with a cardiac problem is treated with beta-adrenergic blocking drugs.
Which reaction should the nurse point out as a generalized reaction that impacts
the body when a beta-adrenergic blocking drug is given to the client?
A) Vomiting
B) Hyperglycemia
C) Nausea
D) Vertigo
Answer: D
Rationale: The nurse should identify vertigo as the generalized reaction that
impacts the body when a beta-adrenergic blocking drug is given to the client.
Vomiting, nausea, and hyperglycemia are not generalized reactions; they are
gastrointestinal reactions that are observed when the client is administered
beta-adrenergic blocking drugs.
Question Format: Multiple Choice
Chapter: 24
Learning Objective: 2
Cognitive Level: Understand
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
, Reference: p. 295, Beta-Adrenergic Blocking Drugs
3. A client who is receiving a beta blocker tells the nurse about also taking ibuprofen
for arthritis pain. The nurse would be alert for which reaction?
A) Decreased effect of the beta blocker
B) Increased risk of bradycardia
C) Increased risk of paradoxical hypertensive effect
D) Increase risk of hypotension
Answer: A
Rationale: The nurse should monitor for the decreased effect of the beta blocker
in the client who is receiving a beta blocker along with NSAIDs. The nurse does
not need to monitor for increased risk of bradycardia and paradoxical
hypertensive effect or decreased risk of hypotension. There is an increase in the
risk of paradoxical hypertensive effect when a beta-adrenergic blocking drug is
administered with clonidine. There is an increase in the risk of bradycardia when
a beta-adrenergic blocking drug is administered with antidepressants. There is an
increased risk of hypotension when a beta-adrenergic blocking drug is
administered with loop diuretics.
Question Format: Multiple Choice
Chapter: 24
Learning Objective: 2
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 295, Beta-Adrenergic Blocking Drugs
4. A nurse is caring for a client who has been prescribed propranolol for angina. After
administering the drug, which action would the nurse do?
A) Ask about relief of symptoms and record responses on the chart.
B) Determine signs of infection in the client.
C) Monitor for sudden decrease in urine output.
D) Monitor for sudden increase in intraocular pressure.
Answer: A
Rationale: The nurse should ask about the relief of symptoms and record the
responses on the client's chart. Determining the signs of infection in the client is
part of the nurse's preadministration assessment, not the ongoing assessment.
The nurse does not need to monitor the client for a sudden decrease in urine
output and a sudden increase in intraocular pressure for a client receiving
propranolol therapy for angina.
Question Format: Multiple Choice
Chapter: 24
Learning Objective: 3
Cognitive Level: Apply
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
