A common side effect of beta blockers is:
cough
hypotension
anxiety
elevated heart rate
The Correct Answer is B
A) Cough:
Cough is more commonly associated with angiotensin-converting enzyme (ACE) inhibitors, such as enalapril or lisinopril, rather than with beta blockers. ACE inhibitors can cause a persistent dry cough due to the accumulation of bradykinin. Beta blockers do not generally have a direct effect on causing cough, so this is not a typical side effect of beta blockers.
B) Hypotension:
Hypotension (low blood pressure) is a common and well-documented side effect of beta blockers. Beta blockers, such as metoprolol, atenolol, and propranolol, work by blocking beta-adrenergic receptors, leading to a reduction in heart rate and the force of heart contractions, which can lower blood pressure. In patients with already low blood pressure or those receiving other antihypertensive medications, this effect may be more pronounced and could lead to symptomatic hypotension, such as dizziness or lightheadedness.
C) Anxiety:
Anxiety is not a common side effect of beta blockers. In fact, beta blockers are sometimes prescribed to manage symptoms of anxiety, particularly for physical symptoms like palpitations and tremors. However, anxiety may worsen in some individuals due to other factors, such as the psychological impact of dealing with heart disease, but this is not a typical side effect of beta blockers.
D) Elevated heart rate:
Beta blockers work to decrease heart rate by blocking the effects of adrenaline (epinephrine) on beta-adrenergic receptors. This leads to a slower heart rate and reduced workload on the heart. Therefore, elevated heart rate is not a common side effect of beta blockers. In fact, if the heart rate becomes too low (bradycardia), this can be a concerning side effect, but it is the opposite of an elevated heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Naloxone (Narcan):
Naloxone is the antidote for opioid overdose, not for digoxin toxicity. It works by reversing the effects of opioid drugs such as morphine, heroin, and oxycodone by binding to opioid receptors in the brain. While Naloxone is vital in opioid toxicity, it has no effect on the toxicity of digoxin.
B) Digoxin immune FAB (Digibind):
Digoxin immune FAB (Digibind) is the antidote for digoxin toxicity. It works by binding to the digoxin molecules in the bloodstream, thereby inactivating them and preventing them from exerting their toxic effects on the heart. This treatment is critical in cases of severe digoxin toxicity, particularly when the patient exhibits symptoms such as life-threatening arrhythmias, severe bradycardia, or altered mental status.
C) Vitamin K:
Vitamin K is the antidote for warfarin (Coumadin) toxicity, not digoxin toxicity. It promotes the synthesis of clotting factors in the liver and is used to reverse excessive anticoagulation in cases of bleeding due to warfarin. It has no effect on digoxin toxicity, which requires specific treatment with digoxin immune FAB.
D) Inamrinone (Inocor):
Inamrinone is an inotropic medication used to treat severe heart failure by improving heart contractility. However, it is not used as an antidote for digoxin toxicity. In fact, inamrinone and other inotropic agents may be used cautiously in patients with digoxin toxicity, as they could potentially exacerbate arrhythmias, a known complication of digoxin toxicity.
Correct Answer is D
Explanation
A) Prevent respiratory infections:
Albuterol does not prevent respiratory infections. It is a bronchodilator, which means it works to relax and open the airways, improving airflow during episodes of bronchospasm (such as during an asthma attack or exacerbation of COPD). Respiratory infections are usually managed by other types of medications, such as antibiotics or antivirals, depending on the type of infection.
B) Decrease mucus production in the lungs:
While albuterol may help improve breathing and airway function by dilating the airways, it does not directly decrease mucus production. Albuterol works to relieve bronchospasms (tightening of the muscles around the airways), making it easier to breathe, but it doesn’t target mucus production. Some other treatments, like mucolytics or expectorants, are more directly aimed at reducing mucus in the lungs.
C) Reduce inflammation in the airways:
Albuterol is not an anti-inflammatory medication. Its main role is as a bronchodilator, which works by relaxing the muscles around the airways, relieving bronchospasm. Inflammation in the airways is a key component of chronic obstructive pulmonary disease (COPD), but albuterol does not directly reduce this inflammation. Inhaled corticosteroids (ICS) are typically used to address inflammation in COPD.
D) Improve airflow and relieve bronchospasms:
Albuterol is a short-acting beta-agonist (SABA) that works by relaxing the smooth muscles around the airways in the lungs, which helps open them up and improves airflow. This action provides quick relief from symptoms of bronchospasm, such as wheezing and shortness of breath, making it the most appropriate explanation for its use in COPD patients.
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