1. ANS True or False Rationale

2. If I were admitted with decreased circulation to my toes which are blue and painful, you would give me an alpha blocker. True Vasodilation

3. My heart rate is 52/min. you would hold my 9:00 AM dose of a beta blocker. True Decreases heart rate & SA node conduction

4. If I were a diabetic, giving me a Beta Adrenergic Agonist would lower my glucose level. False SE=hyperglycemia

5. My throat is tightening up, I feel like I am smothering. The best drug would be an Alpha Adrenergic Agonist? False Adrenergic Agonist-Epi-all receptor sites

6. If my blood pressure dropped from 190/100 to 120/78 after my alpha adrenergic blocker, you would be happy. True Blocks vasoconstriction, causes vasodilation

7. After giving me a Beta Blocker you would monitor my heart rate and expect a value of 110. False Decreases HR

8. I complain of numbness and tingling of my extremities after taking an Alpha Adrenergic blocker. You would be concerned. True Causes vasodilatation

9. If my history states I have asthma, you would give me a beta adrenergic blocker and be safe? False Bronchoconstriction

10. My kidneys shut down and I am producing little urine, I would respond best to a beta blocker. False Cholinergic agonist

11. I have a sinus infection and stopped up nose, I could use an alpha adrenergic agonist. True Temporaily relieves congestion-rebound effect

12. I can safely give a Beta Blocker to a patient experiencing chest pains because it decreases oxygen demand on the cardiac muscle. True Neg Inotropic, Chromotropic, and Dromotropic effects

13. I am bleeding profusely after a car wreck, the drug of choice would be epinephrine. True Vasoconstriction

14. With a BP of 200/110, an alpha adrenergic blocker or beta blocker would be appropriate. True Blocks vasoconstriction, Neg Chrom, Ino, Dromo effects

15. After a beta blocker, I would monitor for diarrhea, dry mouth, nausea and vomiting. True Also, bradycardia, edema, bronchoconstriction

16. I need something for my migraine headache, the best medicine would be an alpha adrenergic blocker. True Blocks vasoconstriction, carotid dilates

17. My BP changes from 110/68 lying down to 80/48 standing up. It would be safe to continue my alpha adrenergic blocker? False SE: orthostatic hypotension, Hold med, notify MD

18. After cardiac rehabilitation, my pulse rate is 56/min. I came into the unit with a pulse of 54/min. My beta blocker is working correctly. True Neg Dromotropic effects

19. I have developed angina and a fast, irregular heart rate, it would be safe to continue my beta adrenergic agonists. False Pos chromo, ino, dromo effects

20. I become dizzy and extremely nervous after a treatment with Ventolin (beta adrenergic agonist). I would call the doctor immediately. False Normal response

21. I have been diagnosed with glaucoma, I would receive an alpha blocker or an alpha agonist. True May use both

22. A heart rate of 150/min, after my beta agonists is a normal side effect and should require monitoring only. False SE: assess VS, UO, BS, EKG

23. While on dopamine, at a low dose, my output increases from 200ml/2 hrs to 450ml/2 hrs. this is alarming and should be reported immediately. False Normal response

24. Part of my patient teaching plan for a patient taking a beta adrenergic blocker is to rise slowly from different positions. True Decreases orthostatic hypotension

25. My patient complains that sexual dysfunction has become problematic while taking a beta blocker. The patient should be instructed to worry about this after his heart is functioning correctly. False Sexual dysfunction=stress=elevated BP