Quiz 4
Decreased effect of the beta blocker
A patient is being administered nonsteroidal anti-inflammatory drugs and beta-adrenergic blocker drugs. What effect should the nurse monitor for when a patient is given both of these medications?
Check stools of the patient.
A patient with a peptic ulcer visits a health care facility. The physician has prescribed the belladonna drug for the treatment of peptic ulcer. What assessment should the nurse perform before administering the drug to the patient
Malaise
A patient with cardiac arrhythmia is treated with an anti-adrenergic drug. Which of the following generalized reactions should the nurse monitor with centrally acting anti-adrenergic drugs when administered to the patient?
Increased neuromuscular blocking effect
A patient with glaucoma has been prescribed carbachol. The patient informs the nurse that he recently had a bacterial infection and has been taking an aminoglycoside antibiotic. Why should the nurse caution the patient against the use of aminoglycoside antibiotics along with carbachol?
Raise the side rails of the bed
A nurse is administering a cholinergic-blocking drug preoperatively to a patient. What intervention should the nurse perform after administering the drug to the patient?
Patient has myocardial infarction.
A nurse is assigned to care for a patient with biliary colic in a health care facility. The patient has been prescribed atropine. The nurse knows that in which of the following cases is the use of atropine contraindicated?
Blurred vision
A nurse is caring for a 60-year-old patient with a peptic ulcer. The patient is administered belladonna alkaloids by the nurse. Which of the following conditions should the nurse monitor for when caring for this patient?
Increased risk of arrhythmias
A nurse is caring for a patient on metaraminol therapy. The patient is also to be administered bretylium under close supervision. Which of the following risks will this maximize?
Carbachol and pilocarpine
A nurse is caring for a patient undergoing glaucoma treatment. The nurse knows that which of the following combinations of drugs need to be administered to the patient to produce an additive effect on the treatment?
Evaluate the symptoms related to the patient's diagnosis.
A nurse is caring for a patient undergoing standard treatment for ureteral overactivity in a health care facility. Which of the following nursing interventions should the nurse perform during the ongoing assessment of the treatment?
Active hepatic disease
A nurse is caring for a patient who has been administered a centrally acting anti-adrenergic drug. The nurse knows that under which of the following conditions is the use of a centrally acting anti-adrenergic drug contraindicated?
Ask about relief of symptoms and record responses on chart.
A nurse is caring for a patient who has been prescribed propranolol for angina. What nursing interventions should the nurse perform during ongoing assessment of the treatment?
Fever
A nurse is caring for a patient who has been prescribed scopolamine hydrobromide for pre-anesthetic sedation. The drug is known to cause heat prostration during the hot summer months. What signs of heat prostration should the nurse monitor for when caring for this patient?
Stress the importance of controlling modifiable risk factors.
A nurse is caring for a patient with hypertension. What is the role of the nurse when educating a patient with hypertension?
Difficulty in breathing
A nurse is caring for a patient with myasthenia gravis at a healthcare facility. The patient has been administered ambenonium. Which of the following symptoms of drug under dosage should the nurse monitor in the client?
Patients with bradycardia
A nurse is caring for a patient with urinary retention. The patient has been prescribed Urecholine. For which category of patients should the nurse take precautions when administrating Urecholine?
Changes in pulse rate
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?
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 healthcare provider?
Changes in consciousness
A nurse is required to administer an adrenergic to a patient who is in shock. Which of the following is a sign of shock that the nurse should record before administering the drug?
Decreased effect of hypotension
A patient has been administered an anti-adrenergic drug with levodopa. What effect of the interaction of levodopa with the anti-adrenergic drug should the nurse be aware of?
Cardiac arrhythmias
A patient has been administered dobutamine HCL. Which of the following adverse reactions should the nurse monitor for in the patient?
Administer dopamine only via IV route
A patient has been prescribed dopamine. Which of the following interventions should the nurse perform during the drug regimen?
Cardiac arrhythmias
A patient has been prescribed edrophonium for myasthenia gravis. Which of the following can the nurse monitor as a general adverse reaction in the patient?
Administer midodrine during the day
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?
Review the purpose of the drug therapy with the patient and family
The nurse is developing a teaching plan for an outpatient receiving cholinergic drugs. What should be the role of the nurse when developing a teaching plan?