Exam 20: Beta-Blockers

A patient is in the clinic for an annual physical examination.The primary care NP obtains a medication history and learns that the patient is taking a b-blocker and nitroglycerin.The NP orders laboratory tests,performs a physical examination,and performs a review of systems.Which finding may warrant discontinuation of the β-blocker in this patient?

A patient who has migraine headaches has begun taking timolol and 2 months after beginning this therapy reports no change in frequency of migraines.The patient's current dose is 30 mg once daily.The primary care NP should:

An 80-year-old patient has begun taking propranolol (Inderal)and reports feeling tired all of the time.The primary care NP should:

An 80-year-old patient with chronic stable angina has begun taking nadolol (Corgard)20 mg once daily in addition to taking nitroglycerin as needed.After 1 week,the patient reports no change in frequency of nitroglycerin use.The primary care nurse practitioner (NP)should change the dose of nadolol to _____ mg _____ daily.

A primary care NP provides teaching for a patient who will begin taking propranolol (Inderal).Which statement by the patient indicates understanding of the teaching?

A patient is in the clinic for a follow-up examination after a myocardial infarction (MI).The patient has a history of left ventricular systolic dysfunction.The primary care NP should expect this patient to be taking:

A patient with a history of coronary heart disease develops atrial fibrillation.The primary care NP refers the patient to a cardiologist who performs direct current cardioversion.The NP should expect the patient to begin taking which β-blocker medication?

A patient who has been taking propranolol for 6 months reports having nocturnal cough and shortness of breath.The primary care NP should: