A patient is receiving a drug that blocks adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?

A. Nasal congestion
B. Orthostatic hypotension
C. Inhibition of ejaculation
D. Reflex tachycardia


Answer: B. Orthostatic hypotension
Rationale: Orthostatic hypotension is the most serious adverse response to alpha-adrenergic blockade. This hypotension can reduce blood flow to the brain, thereby causing dizziness, lightheadedness, and even syncope (fainting).

Nursing

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People's ability to cope with change can be affected by four specific factors as defined by Silber (1993) which are important for nurses and healthcare professionals. Which of the following is not one of these factors?

a. reluctance toward change b. anticipated consequences of change c. evaluation of the immediate situation d. individual's stake or position in the change

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A nurse should advise a client beginning therapy with testosterone (Androderm) about which of the following adverse effects?

A) Impotence B) Fluid retention C) Male-pattern baldness D) Somnolence E) Mania

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In a client with a lymphatic system disorder, which of the following physical assessments is a priority for the nurse to perform?

A) Examine the color and quantity of urine. B) Inspect the tonsils for size and appearance. C) Frequently examine and record blood pressure. D) Examine for any signs of physical injury.

Nursing