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Pharm 2

Class II Antidysrhythmic Therapy (Beta Blockers)

QuestionAnswer
A patient is being discharged on extended-release (ER) metoprolol. Which statement by the patient indicates an understanding of metoprolol ER? “I should take the drug whole.”
Teaching is provided to a patient who is prescribed metoprolol after a myocardial infarction. Which response by the patient indicates a need for additional teaching? “I do not need to check my heart rate before taking the drug.”
In which division of the nervous system are catecholamines blocked by metoprolol, resulting in drowsiness? Sympathetic nervous system
The nurse reports which assessment finding as contributing to the cardioprotective effect in a patient receiving metoprolol? The heart rate decreased from 130 to 98 beats/min.
The patient refuses to take metoprolol because of its effects on the lungs. The nurse explains that metoprolol will not affect the lungs because it affects which type of cell receptors? Beta1
The nurse administers propranolol intravenously at 0900. At which time will the nurse start assessing for its therapeutic effects? 0905
Propranolol is prescribed to a patient for heart failure. Which assessment finding would concern the nurse? Wheezing
A nurse is preparing to administer a beta blocker to a patient who has the following vital signs: blood pressure 118/68 mm Hg; heart rate 54 beats/min; and respiratory rate 14 breaths/minute. Which action would the nurse take? Hold the medication.
A nurse is assessing a patient who has been taking metoprolol. Which assessment finding would be most concerning? Weight gain of 4 lb within 24 hours
Which nursing assessment would be of highest priority when administering a beta blocker? Heart rate
A patient who is prescribed propranolol complains of swelling to the feet. Which action would the nurse take? Hold the propranolol.
A patient taking propranolol complains of dizziness when getting out of bed. Which action would the nurse take first? Obtain blood pressure and heart rate.
Created by: Lightnning54
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