The nurse is conducting an admission assessment on a patient.
When collecting data relating to the medications, the nurse asks “What medications are you taking?” After collecting that information, what other queries should the nurse ask? Select all that apply.

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.

Choice A rationale

Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.

Choice B rationale

Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.

Choice C rationale

Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.

Choice D rationale

Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.