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jgerke jgerke
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6 years ago
A client with hypertension is prescribed a beta blocker. The effects that this medication will have on the client's blood pressure are due to which factors?
 
  Standard Text: Select all that apply.
  1. Reduced myocardial contractility
  2. Reduced release of renin
  3. Relaxed arteriole smooth muscle
  4. Reduced sympathetic output from the brain
  5. Reduced lipolysis
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wrote...
6 years ago
Correct Answer: 1,2,3,4
Rationale 1: Diminished myocardial contractility decreases cardiac output.
Rationale 2: The release of renin by the kidney, which is normally stimulated by catecholamines, is prevented.
Rationale 3: The nonselective adrenergic antagonists block alpha1-adrenergic receptors, relaxing arteriolar smooth muscle.
Rationale 4: Central actions reduce sympathetic output from the vasomotor center in the brain.
Rationale 5: Nonselective beta blockers may increase serum triglycerides and decrease high-density lipoproteins.
Global Rationale: Diminished myocardial contractility decreases cardiac output. The release of renin by the kidney, which is normally stimulated by catecholamines, is prevented. The nonselective adrenergic antagonists block alpha1-adrenergic receptors, relaxing arteriolar smooth muscle. Central actions reduce sympathetic output from the vasomotor center in the brain. Nonselective beta blockers may increase serum triglycerides and decrease high-density lipoproteins.
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