The nurse cautions the patient taking nadolol (Corgard) for angina that they may experience what adverse effect?
A) Dry mouth
B) Decreased exercise tolerance
C) Constipation
D) Problems with urination
B
Feedback:
Nadolol is a beta-blocker that can cause a decreased tolerance to exercise because of the inability to experience the effects of the stress reaction. Dry mouth, constipation, and problems with urination are effects often seen with anticholinergic drugs but not with beta-blockers.
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A patient presents to the emergency department (ED) with the following clinical signs:
Pulse: 132 beats/min Blood pressure: 88/50 mm Hg Respiratory rate: 32 breaths/min Temperature: 104.8° F Chest x-ray: Findings consistent with congestive heart failure Cardiac rhythm: Atrial fibrillation with rapid ventricular response These signs are consistent with which disorder? a. Adrenal crisis b. Myxedema coma c. Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) d. Thyroid storm
The spouse of a patient with schizophrenia says, "I don't understand why childhood experiences have anything to do with this disabling illness." Select the nurse's response that will best help the spouse understand this condition
a. "Psychological stress is actually at the root of most mental disorders." b. "We now know that all mental illnesses are the result of genetic factors." c. "It must be frustrating for you that your spouse is sick so much of the time." d. "Although this disorder more likely has a biological rather than psychological origin, the support and involvement of caregivers is very important."
A client is demonstrating signs of hypoxia. What laboratory value will help the nurse determine the client's degree of effective gas exchange?
1. Blood glucose. 2. Serum potassium. 3. Serum sodium. 4. Arterial blood gas.
The physician order reads "Lopressor (metoprolol) 50 mg PO daily. Do not give if blood pressure is less than 100 mm Hg systolic." The patient's blood pressure is 92/66 . The nurse does not give the medication and
a. Does not tell the patient what the blood pressure is. b. Documents only what the blood pressure was. c. Documents that the medication was not given owing to low blood pressure. d. Does not need to inform the health care provider that the medication was held.