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, A nurse assesses a client after administering a prescribed beta blocker. Which assessment should the
nurseexpect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
d. Pulse decreased from 100 beats/min to 80 beats/min - correct ans:ANS: D
Beta blockers block the stimulation of beta1-adrenergic receptors. They block the sympathetic (fight-or-
flight)response and decrease the heart rate (HR). The beta blocker will decrease HR and blood pressure,
increasingventricular filling time. It usually does not have effects on beta2-adrenergic receptor sites.
Cardiac output willdrop because of decreased HR.
An emergency room nurse obtains the health history of a client. Which statement by the client should
alert the nurse to the occurrence of left-sided heart failure?
a. I get short of breath when I climb stairs.
b. I see halos floating around my head.
c. I have trouble remembering things.
d. I have lost weight over the past month. - correct ans:ANS: A
Dyspnea on exertion is an early manifestation of heart failure and is associated with an activity such as
stairclimbing. The other findings are not specific to early occurrence of heart failure.
A nurse obtains the health history of a client who is newly admitted to the medical unit. Which
statement by the client should alert the nurse to the presence of edema with right-sided heart failure?
a. I wake up to go to the bathroom at night.
b. My shoes fit tighter by the end of the day.
c. I seem to be feeling more anxious lately.
d. I drink at least eight glasses of water a day. - correct ans:ANS: B
Weight gain can result from fluid accumulation in the interstitial spaces. This is known as edema. The
nurseshould note whether the client feels that his or her shoes or rings are tight, and should observe,