The nurse learns that a client has been taking a beta-adrenergic antagonist but does not know why. For which disease processes should the nurse focus assessment with this client?
Standard Text: Select all that apply.
1. Angina pectoris
2. Dysrhythmias
3. Glaucoma
4. Hypertension
5. Chronic obstructive pulmonary disease
Correct Answer: 1,2,3,4
Rationale 1: Beta-adrenergic antagonists decrease cardiac workload and oxygen demands and ease acute chest pain associated with angina pectoris.
Rationale 2: Beta-adrenergic antagonists slow cardiac conduction, which is helpful in the treatment of some dysrhythmias.
Rationale 3: Some beta-adrenergic antagonists reduce intraocular pressure, which is used in the treatment of glaucoma.
Rationale 4: Beta-adrenergic antagonists are used in the treatment of hypertension.
Rationale 5: Beta-adrenergic antagonists can constrict the bronchioles and are not used in the treatment of chronic obstructive pulmonary disease.
Global Rationale: Beta-adrenergic antagonists decrease cardiac workload and oxygen demands and ease acute chest pain associated with angina pectoris; they slow cardiac conduction, which is helpful in the treatment of some dysrhythmias; some reduce intraocular pressure, which is used in the treatment of glaucoma; and they are useful in the treatment of hypertension. Beta-adrenergic antagonists can constrict the bronchioles and are not used in the treatment of chronic obstructive pulmonary disease.
You might also like to view...
Which type of nursing diagnosis describes human responses to a health condition or life process that many develop in a vulnerable population?
1. risk diagnosis 2. wellness diagnosis 3. illness continuum 4. all of the above
The nurse is working in a prenatal clinic caring for a patient at 14 weeks gestation, G2 P1001. Which of the following findings should the nurse highlight for the nurse midwife?
A) Body mass index of 23 B) Blood pressure of 100/60 C) Hematocrit of 29% D) Pulse rate of 76 bpm
Which of the following responses by the nurse is most appropriate to the statement "This test isn't my idea, but my husband insists"?
a. "Don't worry. Everything will be fine." b. "Why don't you want to have this test?" c. "You're concerned about having this test?" d. "It's your decision."
A client has been found to be an acceptable candidate for a kidney transplant. The nurse counsels the client and family that the client now faces the greatest impediment to renal transplantation, which is
a. high potential for rejection. b. high risk for infection. c. insufficient financial resources. d. lack of sufficient donor organs.