NR546 Antidepressant and Mood Stabilizer Medication
Table
When teaching a patient who has been prescribed metoprolol (Lopressor) about
side/adverse effects, which is the highest priority teaching point?
A. Report any complaints of stuffy nose
B. Instruct the patient how to take a pulse
C. Check for bladder distention
D. Warn of possible impotence and decreased libido - ANSWER B
Stimulation of which adrenergic receptor results in dilation of vessels and decrease
in blood pressure?
A. Alpha 1
B. Alpha 2
C. Beta 1
D. Beta 2 - ANSWER B
The nurse is teaching the patient about the side effects of atenolol (Tenormin).
These include:
A. Pupillary constriction
B. Blood vessel dilation
C. Bronchospasms
D. Tachycardia - ANSWER C
A nurse is administering epinephrine to a patient during a cardiac arrest. The primary
desired action of this medication is to:
A. Stimulate a heart rate
B. Decrease cerebral blood flow
C. Initiate respirations
D. Increase blood flow to the kidneys - ANSWER A
A patient has been prescribed atenolol (Tenormin). To ensure safe dosing, the nurse
teaches the patient to frequently assess what parameter?
A. Daily weight
B. Heart rate
C. Urine output
D. Body temperature - ANSWER B
A patient is receiving dopamine (Intropin) intravenously. Which drug should the
nurse have available to treat extravasation and tissue necrosis?
A. Norepinephrine bitartrate (Levophed)
B. Nadolol (Corgard)
C. Phentolamine mesylate (Regitine)
D. Clonidine (Catapres) - ANSWER C
, Which finding would indicate to the nurse that a medication has activated alpha 1
receptors?
A. Increase in blood pressure
B. Pupillary constriction
C. Bradycardia
D. Increased saliva production - ANSWER A
Which finding would indicate to the nurse that a medication has activated beta2
receptors?
A. Uterine contractions
B. Bronchiolar constrictions
C. Hyperglycemia
D. Increased saliva production - ANSWER C
A nurse is preparing to administer a beta blocker to a patient. The nurse recognizes
that beta blockers are used to treat which conditions? (Select all that apply)
A. Angina pectoris
B. Cardiogenic shock
C. COPD
D. CHF
E. Hypertension
F. Sinus bradycardia - ANSWER A, D, E
The nurse assesses a patient receiving an adrenergic (sympathomimetic) agent.
Which finding will be of greatest concern to the nurse?
A. Weak peripheral pulses and decreased heart rate
B. Increased peripheral pulses and increased heart rate.
C. Stable blood pressure and increased cardiac output.
D. Heart rate of 95 beats per minute and strong peripheral pulses. - ANSWER A
The nurse is caring for a patient who is prescribed propranolol. Which assessment
finding will reveal if the medication is having a therapeutic effect?
A. The patient's lung sounds are clear
B. The patient is in sinus rhythm
C. The patient has strong peripheral pulses
D. The patient's blood pressure is 130/75 mm Hg - ANSWER D
The nurse is caring for a patient who has been recently diagnosed with hypertension
and is to receive an initial dose of atenolol. What is the nurse's primary intervention?
A. Assess the patient's urinary output
B. Teach the change position slowly
C. Encourage increase in fluid intake
D. Assess for history in any respiratory disease - ANSWER D
The nurse is preparing to discharge a patient who is receiving acebutolol HCl. Which
instruction will the nurse include in the medication teaching plan for this patient?
A. "If you take your pulse and it is less than 60, hold your medicine and call your
health care provider for instructions."
Table
When teaching a patient who has been prescribed metoprolol (Lopressor) about
side/adverse effects, which is the highest priority teaching point?
A. Report any complaints of stuffy nose
B. Instruct the patient how to take a pulse
C. Check for bladder distention
D. Warn of possible impotence and decreased libido - ANSWER B
Stimulation of which adrenergic receptor results in dilation of vessels and decrease
in blood pressure?
A. Alpha 1
B. Alpha 2
C. Beta 1
D. Beta 2 - ANSWER B
The nurse is teaching the patient about the side effects of atenolol (Tenormin).
These include:
A. Pupillary constriction
B. Blood vessel dilation
C. Bronchospasms
D. Tachycardia - ANSWER C
A nurse is administering epinephrine to a patient during a cardiac arrest. The primary
desired action of this medication is to:
A. Stimulate a heart rate
B. Decrease cerebral blood flow
C. Initiate respirations
D. Increase blood flow to the kidneys - ANSWER A
A patient has been prescribed atenolol (Tenormin). To ensure safe dosing, the nurse
teaches the patient to frequently assess what parameter?
A. Daily weight
B. Heart rate
C. Urine output
D. Body temperature - ANSWER B
A patient is receiving dopamine (Intropin) intravenously. Which drug should the
nurse have available to treat extravasation and tissue necrosis?
A. Norepinephrine bitartrate (Levophed)
B. Nadolol (Corgard)
C. Phentolamine mesylate (Regitine)
D. Clonidine (Catapres) - ANSWER C
, Which finding would indicate to the nurse that a medication has activated alpha 1
receptors?
A. Increase in blood pressure
B. Pupillary constriction
C. Bradycardia
D. Increased saliva production - ANSWER A
Which finding would indicate to the nurse that a medication has activated beta2
receptors?
A. Uterine contractions
B. Bronchiolar constrictions
C. Hyperglycemia
D. Increased saliva production - ANSWER C
A nurse is preparing to administer a beta blocker to a patient. The nurse recognizes
that beta blockers are used to treat which conditions? (Select all that apply)
A. Angina pectoris
B. Cardiogenic shock
C. COPD
D. CHF
E. Hypertension
F. Sinus bradycardia - ANSWER A, D, E
The nurse assesses a patient receiving an adrenergic (sympathomimetic) agent.
Which finding will be of greatest concern to the nurse?
A. Weak peripheral pulses and decreased heart rate
B. Increased peripheral pulses and increased heart rate.
C. Stable blood pressure and increased cardiac output.
D. Heart rate of 95 beats per minute and strong peripheral pulses. - ANSWER A
The nurse is caring for a patient who is prescribed propranolol. Which assessment
finding will reveal if the medication is having a therapeutic effect?
A. The patient's lung sounds are clear
B. The patient is in sinus rhythm
C. The patient has strong peripheral pulses
D. The patient's blood pressure is 130/75 mm Hg - ANSWER D
The nurse is caring for a patient who has been recently diagnosed with hypertension
and is to receive an initial dose of atenolol. What is the nurse's primary intervention?
A. Assess the patient's urinary output
B. Teach the change position slowly
C. Encourage increase in fluid intake
D. Assess for history in any respiratory disease - ANSWER D
The nurse is preparing to discharge a patient who is receiving acebutolol HCl. Which
instruction will the nurse include in the medication teaching plan for this patient?
A. "If you take your pulse and it is less than 60, hold your medicine and call your
health care provider for instructions."
