A client who suffers from hypertension and headaches is prescribed esmolol (Brevibloc). The nurse would educate the client on which side effects associated with this medication?
(Select All that Apply.)

rebound hypotension.

vomiting

bradycardia

masking of hypoglycemia

Answer and Explanation

Correct Answer : A,B,E,F

A. Rebound hypotension can occur with the abrupt withdrawal of beta-blockers like esmolol, so clients should be advised against suddenly stopping the medication.

B. Vomiting is not a typical or common side effect of esmolol.

C. Bradycardia is a known effect of beta-blockers, including esmolol, and should be monitored.

D. Esmolol can mask the symptoms of hypoglycemia in diabetic patients, which is an important consideration for patient education.

E. Tremors are not commonly associated with esmolol; rather, they might be seen in other conditions or medications.

F. Bronchoconstriction can occur with non-selective beta-blockers; however, esmolol is cardioselective, so the risk is lower but still possible, especially in patients with underlying respiratory conditions.

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Correct Answer is C

Explanation

A. Calcium channel blockers are not typically used to manage flushing associated with niacin.

B. NSAIDs can help with flushing symptoms; however, beta blockers are more commonly used for this purpose.

C. Beta blockers, such as propranolol, are effective in preventing flushing associated with niacin therapy by blocking the vasodilatory effects.

D. Fibric acid derivatives are used to lower triglycerides and cholesterol but do not address flushing caused by niacin.

A. Increases heart rate and increases myocardial contractility B. Increase oxygen to the systemic circulation C. Reduces the contractility and conductivity of the heart D. Acts on the beta cells within the heart and lungs to regulate cardiac rhythm

Correct Answer is C

Explanation

A. Calcium channel blockers primarily decrease heart rate and contractility, not increase them.

B. While they can indirectly improve oxygen supply by reducing myocardial oxygen demand, they do not directly increase systemic oxygen.

C. This option accurately describes the mechanism of action of calcium channel blockers, which decrease heart contractility and conduction through the AV node, helping to manage dysrhythmias.

D. Calcium channel blockers do not act on beta cells; they specifically inhibit calcium influx into cardiac and vascular smooth muscle cells.

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A client who suffers from hypertension and headaches is prescribed esmolol (Brevibloc). The nurse would educate the client on which side effects associated with this medication? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client newly prescribed niacin (Nicotonic Acid) presents to the healthcare setting with complaints of flushing following doses. Which of the following medications would the nurse anticipate being administered?

Correct Answer is C

Explanation

A nurse is caring for a client admitted to the intensive care unit for a cardiac dysrhythmia. The nurse understands the prescribed calcium channel blocker has which of the following mechanisms of action?

Correct Answer is C

Explanation

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A client who suffers from hypertension and headaches is prescribed esmolol (Brevibloc). The nurse would educate the client on which side effects associated with this medication?
(Select All that Apply.)