A nurse from the medical unit is floated to the cardiology floor. While preparing to provide morning medications, the nurse realizes many patients are taking bisoprolol and knows the drug must be given cautiously or in reduced doses to which of the following patients? Select all that apply.
A) A 56-year-old patient with a history of pulmonary disease.
B) A 68-year-old patient with a history of gastroesophogeal reflux disease.
C) A 71-year-old patient with chronic renal failure.
D) A 66-year-old patient with elevated liver enzymes.
E) A 59-year-old patient with a history of diverticulitis.
F) A 74-year-old patient with a history of Alzheimer's disease.

Question

Quizplus · Accepted Answer

Bisoprolol is a beta-blocker that can exacerbate respiratory conditions in patients with pulmonary disease, necessitating caution or reduced doses. Patients with chronic renal failure may require dose adjustments due to impaired drug clearance. Similarly, elevated liver enzymes indicate liver dysfunction, which can affect drug metabolism, also necessitating cautious use or dose adjustments.

A Nurse from the Medical Unit Is Floated to the Cardiology