McKenna's Pharmacology for Nursing, 2e - page 498

486
P A R T 5
 Drugs acting on the autonomic nervous system
O’Donovan, K. (2012). Amiodarone and its role in arrhythmia.
Nurse Prescribing
,
10(5)
, 241–246.
Porth, C. M. (2011).
Essentials of Pathophysiology: Concepts
of Altered Health States
(3rd edn). Philadelphia: Lippincott
Williams & Wilkins.
Porth, C. M. (2009).
Pathophysiology: Concepts of Altered Health
States
(8th edn). Philadelphia: Lippincott Williams & Wilkins.
Wiysonge, C. S. & Opie, L. H. (2013).
b
-blockers as initial therapy
for hypertension.
JAMA
,
310(7)
, 1851?1852.
Wiysonge, C. S., Bradley, H. A, Volmink, J., Mayosi, B. M.,
Mbewu, A. & Opie, L. H. (2012). Beta-blockers for
hypertension.
Cochrane Database of Systematic Reviews
,
CD002003.
C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
Adrenergic blocking drugs, because of their clinical
effects, are also known as:
a.
anticholinergics.
b.
sympathomimetics.
c.
parasympatholytics.
d.
sympatholytics.
2.
The nurse or midwife would anticipate
administering drugs that generally block all
adrenergic receptor sites to treat:
a.
allergic rhinitis.
b.
COPD.
c.
cardiac-related conditions.
d.
premature labour.
3.
Phentolamine (
Regitine
), an alpha-adrenergic
blocker, is most frequently used:
a.
to prevent cell death after extravasation of
intravenous dopamine or noradrenaline.
b.
to treat COPD in people with hypertension or
arrhythmias.
c.
to treat hypertension and BPH in males.
d.
to block bronchoconstriction during acute
asthma attacks.
4.
A person with which of the following would most
likely be prescribed an alpha1-selective adrenergic
blocking agent?
a.
COPD and hypotension
b.
hypertension and BPH
c.
erectile dysfunction and hypotension
d.
shock states and bronchospasm
5.
The beta-blocker of choice for a person who is
hypertensive and has angina is:
a.
nebivolol.
b.
pindolol.
c.
timolol.
d.
sotolol.
6.
A nurse or midwife would question an order for
beta
1
-selective adrenergic blocker for a person with:
a.
cardiac arrhythmias.
b.
hypertension.
c.
cardiogenic shock.
d.
open-angle glaucoma.
7.
A smoker who is being treated for hypertension with
a beta-blocker is most likely receiving:
a.
a non-specific beta-blocker.
b.
an alpha
1
-specific beta-blocker.
c.
beta- and alpha-blockers.
d.
a beta
1
-specific blocker.
8.
You would caution a person who is taking an
adrenergic blocker:
a.
to avoid exposure to infection.
b.
to stop the drug if they experience flu-like
symptoms.
c.
never to stop the drug abruptly.
d.
to avoid exposure to the sun.
MULTIPLE RESPONSE
Select all that apply.
1.
A nurse or midwife would question an order for
a beta-adrenergic blocker if the person was also
receiving what other drugs?
a.
clonidine
b.
ergot alkaloids
c.
aspirin
d.
NSAIDs
e.
triptans
f.
adrenaline
2.
The beta-adrenergic blocker propranolol is approved
for a wide variety of uses. Which of the following
are approved indications?
a.
migraine headaches
b.
stage fright
c.
bronchospasm
d.
reinfarction after an MI
e.
erectile dysfunction
f.
hypertension
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