Focus Nursing Pharmacology I Chapter 30 Adrenergic Agonists

Which of the following conditions is treated with an adrenergic agonist?

Anaphylaxis

An increased dosage of digoxin would be needed if the patient is also taking midodrine.

False

Which of the following is an effect of epinephrine?

Increased heart rate

Stimulation of beta1 adrenergic receptors in the heart results in

Increased heart rate.

A patient is administered epinephrine in conjunction with a local anesthetic. What effect will epinephrine produce?

Increased vasoconstrictive effects

A patient has been prescribed dopamine. Which of the following interventions should the nurse perform while caring for the patient?

Inspect the needle site and surrounding tissues for leakage

A patient suffers from bradycardia. Which of the following medications is a synthetic catecholamine for the treatment of bradycardia?

Isoproterenol (Isuprel)

The intravenous line of a client receiving dobutamine infiltrates and the drug extravasates. The nurse would infiltrate the site with which of the following?

Phentolamine

Which agent would the nurse expect to find when reviewing over-the-counter allergy products?

Phenylephrine

The adrenergic branch of the autonomic nervous system is also known by which of the following names? (Choose one)

Sympathetic nervous system

Another name for adrenergic drugs is:

Sympathomimetic drugs.

Adrenergic drugs produce which of the following effects?

Increased heart rate

A parent hears the doctor talking and uses the word extravasation. The parent comes to the nurse to ask what extravasation means. What would be a correct answer by the nurse?

"Extravasation is when fluid escapes from a blood vessel into the surrounding tissue."

A patient receives phenylephrine intravenously. The nurse would expect the drug to last for how long?

15 to 20 minutes

Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

A 47-year-old female with hypertension

Epinephrine causes relaxation of:

Bronchioles.

Which of the following patients is most likely to benefit from the administration of an adrenergic agonist?

A man who is in cardiogenic shock following a myocardial infarction

A patient has been prescribed midodrine. Which of the following interventions should the nurse perform to ensure that the patient doesn't develop supine hypertension?

Administer midodrine during the day

A patient receives a beta-specific agonist. Which of the following would lead the nurse to determine that the drug is effective?

Bronchodilation

Which of the following would a nurse expect to administer if a client who is receiving isoproterenol develops a severe reaction?

Beta-adrenergic blockers

The nurse knows that what physiologic changes will effect a client's stroke volume?

Changes in heart contraction

A nurse is caring for an elderly patient who is to be administered isoproterenol. Which of the following changes monitored in the patient should the nurse report immediately to the primary healthcare provider?

Changes in pulse rate

After reviewing the topic of catecholamines, a group of students demonstrates the need for additional study when they identify which of the following as a synthetic catecholamine?

Dopamine

Which of the following would the nurse expect to assess in a client receiving an alpha- and beta-adrenergic agonist?

Dyspnea

Which of the following herbs have been removed from most weight-loss medications due to potential legal liability?

Ephedra

A patient suffers from bronchial asthma. Which of the following medications will be administered?

Epinephrine

An instructor is preparing a teaching plan for a group of students about adrenergic agonists. Which of the following would the nurse include as an alpha- and beta-adrenergic agonist?

Epinephrine

Anaphylaxis kits for clients allergic to bee stings would contain which of the following medications?

Epinephrine

Which of the following would the nurse expect to be given to a patient experiencing acute bronchospasm?

Epinephrine

A nurse would instruct a patient to apply a clonidine patch at which frequency?

Every 7 days

The nurse is reviewing the history of a patient who is to receive midodrine. Which of the following would alert the nurse to a contraindication for the drug?

Glaucoma

A patient has been administered dobutamine. The patient is also being administered β-adrenergic blocking drugs. Which of the following adverse reactions should the nurse monitor for in the patient as a result of combining the two drugs?

Hypertension

A nurse is attending to a client who has been administered Levophed. Which of the following adverse reactions associated with Levophed should the nurse monitor for in the client? Select all that apply.

Lightheadedness • Nausea

The nurse would contact the physician before administering an adrenergic drug to a client who is also taking which drug?

MAO inhibitor

A home care nurse is visiting a patient to assess blood pressure and heart rate. The patient's grandson has a large amount of pseudoephedrine (Sudafed) in the kitchen. For what might the nurse suspect the patient's grandson is using the pseudoephedrine?

Methamphetamine production

Epinephrine is contraindicated in patients with which of the following diseases or disorders?

Narrow-angle (or closed-angle) glaucoma

After reviewing the routes of administration for beta-specific adrenergic agonists, a group of students demonstrate the need for additional study when they identify isoproterenol as being administered by which route?

Oral

A client has been in the intensive care unit for two weeks following his car accident. His primary nurse is concerned that he is not getting the sleep he needs to recover. She decided to write a nursing diagnosis in the client's chart to work on this problem. Which nursing diagnosis would be appropriate to write for this problem?

Risk for Disturbed Sleep Pattern related to living in the intensive care unit for two weeks (noise, light, etc.), as well as side effects from medications

The nurse is reviewing the medical record of a client who is taking an alpha- and beta adrenergic agonist. Which of the following would be of least concern to the nurse?

St. John's wort

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 healthcare provider?

Systolic blood pressure below 100 mm Hg

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.

True

A client is in shock and is receiving dopamine. The nurse knows that the proper way dopamine should be given is by what method?

Via an electric infusion pump, by itself, and titrated to desired systolic blood pressure

A patient experiencing a serious allergic reaction to a bee sting is brought to the emergency department. The patient's right hand is swollen, red, and painful. She is extremely upset, short of breath, and the nurse detects wheezing and stridor. The nurse is ordered to administer epinephrine to relieve the patient's

acute bronchospasm.

A child is brought to the pediatrician's office for trouble breathing. On exam, the child has severe wheezing. The nurse knows that the provider might prescribe which medication for this child?

albuterol

A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic antagonist would be to

assess heart rate.

In providing care to a client with wheezing, the nurse knows that a medication targets which of the following receptors?

beta 2

A nurse in the intensive care unit is caring for a patient in shock and has started IV administration of dopamine (Intropin). For a patient in shock, dopamine helps to

increase blood pressure

A nurse in the intensive care unit is caring for a patient in shock and has started IV administration of dopamine (Intropin). For a patient in shock, dopamine helps to

increase blood pressure.

The nurse knows that which of the following medications can interact with adrenergic medications and cause hypertension?

oxytocin

Which of following adrenergic receptors is responsible for increased heart rate and increased force of myocardial contraction? (Choose one)

β1 receptors

Which of the following represent the two types of receptors that are found in the adrenergic nervous system? Select all that apply:

• Alpha receptors • Beta receptors

Contraindications to adrenergic drugs include what conditions? (Select all that apply.

• Cardiac dysrhythmias • Hyperthyroidism • Hypersensitivity to sulfites

In order to improve client outcomes, early recognition of the signs and symptoms of shock by the nurse is important. A nurse is caring for a client that has recently suffered an acute myocardial infarction. Which of the following are signs and symptoms of shock for which the nurse should monitor the client? Select all that apply:

• Decreased urinary output • Hypoxia • Tachypnea

In order to improve client outcomes, early recognition of the signs and symptoms of shock by the nurse is important. A nurse is caring for a client that has recently suffered an acute myocardial infarction, which of the following are signs and symptoms of shock for which the nurse should monitor the client? Select all that apply

• Decreases urinary output • Hypoxia • Tachypnea

Adrenergic medications are commonly used for treatment in which of the following places? Select all that apply.

• Dentist office • Intensive care unit • Emergency department

The autonomic nervous system controls which of the following body functions? Select all that apply:

• Heart rate • Blood pressure • Glandular secretions • GI activity

The adrenergic branch of the nervous system controls many functions in the body. The nurse knows that which of the following body functions are controlled by the adrenergic branch? Select all that apply.

• Heart rate • Respiratory rate • Muscle blood flow

A nurse may be asked to administer adrenergic drugs to clients with which of the following conditions? Select all that apply:

• Hypovolemic shock • Respiratory distress • Allergic reactions • Cardiac arrest

Which of the following is expected after the administration of an adrenergic medication such as epinephrine? Select all that apply.

• Increased heart rate • Vasoconstriction

The nurse knows that beta receptors are found in which areas of the body? Select all that apply.

• Myocardium • Peripheral blood vessels • Bronchial smooth muscles

A nurse monitoring a client receiving dopamine should be aware of which of the following adverse reactions that may result? Select all that apply:

• Nausea • Cardiac arrhythmias • Headache

Which of the following would a nurse expect as a possible adverse effect when administering a beta-specific adrenergic agonist? Select all that apply.

• Restlessness • Headache

You are caring for a patient who is in hypovolemic shock. The patient's condition is increasing in severity. What features will present clinically?

• Tachycardia • Decreased urinary output • Cool extremities

While educating a client on the use of midodrine (ProAmatine) the nurse should tell the client to report which of the following changes? Select all that apply:

• Vision changes • Bradycardia • Difficulty urinating

A patient has been administered dobutamine HCL. Which of the following adverse reactions should the nurse monitor for in the patient?

Cardiac arrhythmias

A patient with diabetes who receives an alpha-specific adrenergic agonist is at risk for hypoglycemia

False

The nurse is assessing a patient who is receiving clonidine. Which of the following might the nurse assess?

Photophobia

The adrenergic branch of the autonomic nervous system is also known by which of the following names? (Choose one

Sympathetic nervous system

Drugs that produce activity similar to the neurotransmitter norepinephrine are known as which of the following? (Choose one)

Sympathomimetics

The nurse is teaching a patient about safe use of adrenergic drugs. Which of the following statements should be included in the teaching?

Talk to your doctor before taking any other medications." Correct

The nurse understands that local anesthetics containing adrenergics should not be used on which part of the body?

The fingers

The nurse is administering epinephrine IV push. The nurse checks for patency of the IV prior to administration of the drug. The nurse realizes that if the IV is infiltrated, the medication will result in tissue extravasation. What is the reason for such an occurrence?

The medication causes vasoconstriction, limiting the blood flow to the area.

In order to improve client outcomes, early recognition of the signs and symptoms of shock by the nurse is important. A nurse is caring for a client that has recently suffered an acute myocardial infarction, which of the following are signs and symptoms of shock for which the nurse should monitor the client? Select all that apply:

• Decreases urinary output • Hypoxia • Tachypnea