Chapter 30
Beta-adrenergic blockers
What would a nurse expect to administer if a client who is receiving isoproterenol develops a severe reaction?
β2 receptors
Which adrenergic receptor is responsible for vasodilation of peripheral vessels and bronchodilation?
Phenylephrine
Which agent would the nurse expect to find when reviewing over-the-counter allergy products?
A man who is in cardiogenic shock following a myocardial infarction
Which client is most likely to benefit from the administration of an adrenergic agonist?
isoproterenol
Which medication is a synthetic catecholamine prescribed for the treatment of bradycardia?
β1 receptors
Which of the following adrenergic receptors is responsible for increased heart rate and increased force of myocardial contraction?
Headache Cardiac arrhythmias Nausea
A nurse monitoring a client receiving dopamine should be aware of which adverse reactions that may result? (Select all that apply.)
Every 7 days
A nurse would instruct a patient to apply a clonidine patch at which frequency?
Cardiac arrhythmias
A patient has been administered dobutamine HCL. Which adverse reactions should the nurse monitor for in the patient?
Inhalation
A patient is receiving salmeterol. The nurse would expect this drug to be given by which route?
Ephedrine
A patient suffers from bronchial asthma. Which medication is a mixed-acting adrenergic drug?
assess heart rate.
A priority nursing assessment for a client who is to receive an alpha- or beta-adrenergic agonist would be to which action?
A 47-year-old female with hypertension
Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?
Epinephrine
Which would the nurse expect to be prescribed to a client experiencing acute bronchospasm?
Dopamine
Which would the nurse identify as a naturally occurring catecholamine?
Increased vasoconstrictive effects
A client is administered epinephrine in conjunction with a local anesthetic. What effect will epinephrine produce?
Beta-2-specific adrenergic agonist
A client is being treated for asthma. What would the nurse expect to administer?
Epinephrine
A client is experiencing anaphylaxis. What drug will the nurse most likely administer?
Administer phentolamine to the site.
A client is receiving dopamine intravenously in the right arm. The IV becomes dislodged from the vein, and dopamine has been being given in the surrounding tissue instead of the vein. What should the nurse do immediately after stopping the IV?
phenylephrine
A client is taking an OTC allergy product. The nurse would expect to find that this product most likely contains:
Painful urination
A male client is diagnosed with type 2 diabetes, asthmatic bronchitis, benign prostatic hyperplasia, and hyperlipidemia. He takes an adrenergic medication as part of his daily drug regimen. As part of his education plan, the nurse would teach the client to observe for which signs and symptoms?
Hypertension may be a side effect of the medication.
A male client is prescribed an adrenergic ophthalmic medication. What should the nurse include in the teaching plan?
increase blood pressure.
A nurse in the intensive care unit is caring for a client in shock and has started IV administration of dopamine (Intropin). For a client in shock, dopamine helps to:
Continually assess the client for physiological changes and notify the primary care provider with changes.
A nurse is caring for a 25-year-old client who has been prescribed an adrenergic drug for shock. Which action should the nurse implement?
Changes in pulse rate
A nurse is caring for an elderly patient who is to be administered isoproterenol. Which change monitored in the patient should the nurse report immediately to the primary health care provider?
Systolic blood pressure below 100 mm Hg
A nurse is monitoring the vital signs of a patient who has been administered epinephrine. Which of the readings should nurse report immediately to the primary health care provider?
sympathetic
Adrenergic drugs mimic the effects of stimulating what part of the nervous system?
increased heart rate
An adrenergic drug would be prescribed to produce what physiological effect?
Epinephrine
An instructor is preparing a teaching plan for a group of students about adrenergic agonists. Which would the nurse include as an alpha- and beta-adrenergic agonist?
Cardiac arrhythmias Hyperthyroidism Hypersensitivity to sulfites
Contraindications to adrenergic drugs include what conditions? (Select all that apply.)
Sympathomimetics
Drugs that produce activity similar to the neurotransmitter norepinephrine are known as which of the following?
bronchioles
Epinephrine causes relaxation of:
True
Patients who are receiving alpha-specific adrenergic agents should not stop taking the drug abruptly.
True
Phentolamine is the agent used to treat extravasation of dobutamine.
Alpha receptors Beta receptors
What represents the two types of receptors that are found in the adrenergic nervous system? Select all that apply.
Sympathetic nervous system
The adrenergic branch of the autonomic nervous system is also known by which name?
Compliance with drug regimen
The home health nurse is caring for a 77-year-old male patient who has just been discharged from the hospital. The patient is taking dobutamine for congestive heart failure. What would be most important to monitor in this patient?
phentolamine
The intravenous line of a client receiving dobutamine infiltrates and the drug extravasates. The nurse would infiltrate the site with:
"Talk to your health care provider before taking any other medications."
The nurse is teaching a client about safe use of adrenergic drugs. Which statement should be included in the teaching?
Stimulates electrical and mechanical activity
The nurse knows that what is an added benefit of epinephrine in cardiac arrest situations due to asystole or pulseless electrical activity?
increased heart rate
The stimulation of beta1 adrenergic receptors in the heart by epinephrine would cause what result?
