Which of the following classes of medication decreases heart rate, contractility, and blood pressure, and is used to increase survival rates in post-myocardial infarction patients?

ACE inhibitors

Vasodilators

Beta blockers

Diuretics

Answer and Explanation

The Correct Answer is C

A. ACE inhibitors primarily affect blood pressure and heart remodeling but do not directly decrease heart rate or contractility.

B. Vasodilators mainly lower blood pressure by expanding blood vessels and do not primarily affect heart rate or contractility.

C. Beta blockers decrease heart rate, contractility, and blood pressure, and are specifically used to improve survival after a heart attack by reducing the heart's workload and oxygen demand.

D. Diuretics primarily reduce blood pressure by decreasing blood volume but do not directly decrease heart rate or contractility.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Weight loss is a common side effect of methylphenidate (Ritalin) and should be monitored during treatment.

B. Methylphenidate is not typically associated with renal toxicity.

C. Methylphenidate can cause increases in blood pressure and heart rate, not hypotension.

D. Extreme euphoria and insomnia may indicate overstimulation or inappropriate dosing but are not typical side effects of methylphenidate.

A. Slow heart rate and difficulty standing B. Chest pain on physical exertion or emotional stress C. Sudden weakness with severe headache D. Difficulty breathing and increased temperature

Correct Answer is B

Explanation

A. Slow heart rate and difficulty standing are not typical symptoms of angina.

B. Chest pain that occurs on physical exertion or emotional stress is the classic symptom of angina, caused by reduced blood flow to the heart muscle.

C. Sudden weakness with a severe headache could suggest other medical issues such as a stroke, not angina.

D. Difficulty breathing and increased temperature are not specific to angina and could indicate other health problems like infection or respiratory issues.

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Which of the following classes of medication decreases heart rate, contractility, and blood pressure, and is used to increase survival rates in post-myocardial infarction patients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient on methylphenidate (Ritalin) should be assessed for:

Correct Answer is A

Explanation

The nurse is describing angina to a family member of a client recently diagnosed with the condition. Which characterization of angina is the most appropriate?

Correct Answer is B

Explanation

A client has just begun therapy with lithium (Eskalith). The nurse notices the serum level of lithium for this client is 1.3 mEq/L What is the normal range of lithium?

A client asks the nurse to explain the difference between stable and unstable angina. What is the best response by the nurse?

The client has been taking nicotinic acid. Which adverse effects are common with nicotinic acid? (Select all that apply.)

The nurse is caring for a client who is taking simvastatin (Zocor). What should the nurse instruct this client to avoid while taking this medication?

The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse plan to take?

In the treatment of angina, the mechanism of action of a beta-adrenergic blocker is:

The patient is complaining of a viselike pain in the chest and has been diagnosed with a myocardial infarction. The nurse anticipates that he may be given which of the following medications? (Select all that apply.)