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 A
Explanation
Choice A rationale
Many complementary or alternative therapies can interact with prescribed medications, potentially causing serious health problems.
Choice B rationale
This is not a valid reason for asking about alternative therapies, as the nurse's role is to ensure safe and effective use of prescribed medications.
Choice C rationale
Non-compliance is not the primary concern when asking about alternative therapies; potential interactions are.
Choice D rationale
The cost of treatments is a consideration, but it is not the primary reason for asking about alternative therapies.
Correct Answer is C
Explanation
Choice A rationale
Sympathetic stimulation typically increases the depth and rate of respirations to enhance oxygen delivery to tissues during stress or physical activity.
Choice B rationale
Sympathetic stimulation does not directly increase lung perfusion. It primarily affects the airways to increase airflow.
Choice C rationale
Sympathetic stimulation increases the respiratory rate by activating the respiratory centers in the brain, preparing the body for increased oxygen demand during stress or physical activity.
Choice D rationale
Sympathetic stimulation does not decrease the respiratory rate. It typically increases both the rate and depth of respirations to meet the body's increased oxygen needs. .
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