When the nurse administers a beta-adrenergic blocker to a patient with angina the nurse expects the drugs will help to control angina, but it also has what other effects?
Decreased urinary output.
Decreased strength of heart muscle contraction.
Increased heart rate.
Increased oxygen consumption.
The Correct Answer is B
Choice A rationale
Beta-adrenergic blockers generally do not decrease urinary output. These drugs primarily act on the cardiovascular system by blocking beta-adrenergic receptors, which results in lowered heart rate and blood pressure. Their effects are less pronounced on the renal system unless specific agents with renal effects are used.
Choice B rationale
Beta-adrenergic blockers decrease the strength of heart muscle contraction (negative inotropic effect). By blocking beta receptors, they inhibit the stimulatory effects of catecholamines on the heart, reducing the force of myocardial contraction, which helps decrease oxygen demand and control angina symptoms.
Choice C rationale
Beta-adrenergic blockers typically decrease heart rate (negative chronotropic effect) rather than increase it. They inhibit beta-adrenergic receptors, which leads to a slower heart rate and can help manage conditions like angina by reducing myocardial oxygen consumption.
Choice D rationale
Beta-adrenergic blockers decrease oxygen consumption by reducing heart rate and the force of contraction. These effects lower myocardial oxygen demand, which is beneficial for patients with angina by preventing episodes triggered by increased oxygen needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While maintaining patient confidentiality is crucial, it does not address the immediate medical needs of the patient with chronic renal failure. The primary concern should be addressing the health implications of their condition and ensuring proper care coordination.
Choice B rationale
Administering medications ordered immediately is essential, but it is not the first priority without knowing the patient's current status and medical history. The nurse needs to ensure that the medications prescribed are appropriate for a patient with chronic renal failure.
Choice C rationale
Providing teaching about chronic renal failure is important for long-term management but is not the first priority upon admission. Immediate medical needs and communication with the care team take precedence in this acute care setting.
Choice D rationale
Calling the admitting physician immediately is the first priority. The primary care provider needs to be aware of the patient's diagnosis of chronic renal failure to adjust treatment plans accordingly. Immediate communication ensures that all healthcare professionals are on the same page regarding the patient's care. .
Correct Answer is B
Explanation
Choice A rationale
Cholinergic agonists primarily stimulate the parasympathetic nervous system rather than the central nervous system, affecting activities like digestion, salivation, and decreased heart rate.
Choice B rationale
Parasympathetic nervous system is the correct answer. Cholinergic agonists mimic acetylcholine and stimulate parasympathetic responses, promoting rest-and-digest functions such as reducing heart rate and enhancing glandular secretions.
Choice C rationale
The sympathetic nervous system is not stimulated by cholinergic agonists. Instead, this system is activated by adrenergic agonists, which prepare the body for fight-or-flight responses, increasing heart rate and blood pressure.
Choice D rationale
Voluntary nervous system control is not the primary target of cholinergic agonists. This system governs skeletal muscle movement and is influenced by neuromuscular junctions rather than the autonomic responses modulated by cholinergic drugs. .
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