The nurse should observe elderly clients taking metoprolol ...

[s.tung]

The nurse should observe elderly clients taking metoprolol (Lopressor) for which of the following adverse effects as they are more likely to occur in elderly clients? Select all that apply.
 
  A) Hyperglycemia
  B) Heart failure
  C) Peripheral vascular insufficiency
  D) Confusion
  E) Worsening angina

Question 2

A nurse administers atenolol (Tenormin) to a client suffering an acute MI based on the understanding that this drug will result in which of the following changes in the client? Select all that apply.
 
  A) Increase the heart's excitability
  B) Decrease the heart's workload
  C) Increase the heart's oxygen consumption
  D) Decrease heart rate
  E) Constrict blood vessels

[Toya9913]

Answer to Question 1

Ans: B, C, D, E
Feedback:
The nurse should observe elderly clients taking metoprolol (Lopressor) for confusion, heart failure, worsening angina, shortness of breath, and peripheral vascular insufficiency.

Answer to Question 2

Ans: B, D
Feedback:
Atenolol (Tenormin) is a b-adrenergic blocking drug. Blockade of b-adrenergic receptors results in decreased heart rate, dilation of blood vessels, a decrease in the heart's excitability, and a decrease in cardiac workload and oxygen consumption and provides membrane-stabilizing effects.

[s.tung]

TYSM

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