While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?

Correct Answer: C

Rationale: Beta blockers are medications commonly used to treat angina by reducing the heart's workload and oxygen demand. One common side effect of beta blockers is bradycardia, which is a slower than normal heart rate. Since beta blockers work by blocking the effects of adrenaline on the heart, they can slow down the heart rate. It is important for the nurse to monitor the patient for signs and symptoms of bradycardia, such as fatigue, dizziness, and confusion, especially when assessing a patient taking beta blockers for angina.

Correct Answer: A

Rationale: Ondansetron can be administered through two main routes: orally (PO) and intravenously (IV). PO administration involves taking the medication by mouth, typically in the form of tablets or oral dissolving films. IV administration is done by injecting the medication directly into a vein, allowing for rapid onset of action. Ondansetron is not typically administered subcutaneously (C) or intramuscularly (IM).

Correct Answer: C

Rationale: ACE Inhibitors are primarily used in the treatment of hypertension (Choice A), heart failure (Choice B), and diabetic nephropathy (Choice D). They are not typically used in the treatment of hypotension. In fact, ACE inhibitors can lower blood pressure, so using them in individuals with hypotension may further decrease blood pressure and worsen the condition. Therefore, ACE Inhibitors are not used in the treatment of hypotension.

Correct Answer: A

Rationale: Ciprofloxacin is a fluoroquinolone antibiotic that requires careful monitoring. Obtaining a culture before administration ensures the infection is susceptible to ciprofloxacin. Tendon pain or rupture is a serious adverse effect of fluoroquinolones, particularly in older adults or those on corticosteroids. Dairy products can interfere with the absorption of ciprofloxacin, so patients should avoid them around the time of administration. Dizziness may indicate central nervous system effects, which should be reported promptly.

Correct Answer: D

Rationale: ACE inhibitors increase bradykinin by blocking its breakdown, not decrease it, so that's false. Hyperkalemia is more common in diabetes due to renal issues, not less, making that false. They're not absolutely contraindicated with NSAIDs, though caution applies, so that's incorrect. They decrease efferent arteriolar resistance, reducing glomerular pressure, a true statement, key in renoprotection. They don't reduce prostaglandins (NSAIDs do). This hemodynamic effect is vital in hypertension and diabetic nephropathy.