ch. 30 pharm

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

A man who is in cardiogenic shock following a myocardial infarction

A client is being treated for asthma. What would the nurse expect to administer?

Beta-2-specific adrenergic agonist

A client receives a beta-specific agonist. What would lead the nurse to determine that the drug is effective?

Bronchodilation

Which agent would the nurse identify as being available in a transdermal form?

Clonidine

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?

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?

Continually assess the client for physiological changes and notify the primary care provider with changes.

Which herbs has been removed from most weight-loss medications due to potential legal liability?

Ephedra

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?

Epinephrine

Ephedrine and ephedra-containing herbal preparations are often abused as an alternative to amphetamines. What substances are identified as herbal preparations? (Select all that apply.)

Herbal ecstasy,Ma huang

A male client is prescribed an adrenergic ophthalmic medication. What should the nurse include in the teaching plan?

Hypertension may be the side effect of the drug

Which assessment finding would indicate to the nurse that the administered isoproterenol is effective?

Improved cardiac contractility

A patient is receiving salmeterol. The nurse would expect this drug to be given by which route?

Inhalation

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

MAO inhibitor

Epinephrine is contraindicated in clients with which diseases or disorders?

Narrow-angle (or closed-angle) glaucoma

A client who is in shock has been prescribed a dopamine intravenous infusion. What component of the client's existing medication regimen most increases the client's risk for adverse effects?

Phenelzine

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

Phenylephrine

A client has been diagnosed with asthma and prescribed albuterol 2 inhalations q6h. When providing client education, what should the nurse teach the client?

Restlessness and anxiety are possible after administration

The nurse knows that what is an added benefit of epinephrine in cardiac arrest situations due to asystole or pulseless electrical activity?

Stimulates electrical and mechanical activity

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?

Systolic blood pressure below 100 mm Hg

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 priority nursing assessment for a client who is to receive an alpha- or beta-adrenergic agonist would be to which action?

asses heart rate

A 21-year-old man experienced massive trauma and blood loss during a motorcycle accident and has been started on a dopamine infusion upon his arrival at the hospital. In light of this drug treatment, what assessment should the care team prioritize?

cardiac monitoring

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?

change in pulse rate

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?

compliance with drug regimen

The nurse is assessing a client in the emergency department who has taken an overdose of phenylephrine. What symptoms should the nurse be alert for in this client? (Select all that apply.)

dizziness, heaache

Which would the nurse identify as a naturally occurring catecholamine?

dopamine

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

dyspnea

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

false

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:

increase blood pressure

An adrenergic drug would be prescribed to produce what physiological effect?

increased heart rate

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

phentolamine.

A client is taking an OTC allergy product. The nurse would expect to find that this product most likely contains:

phenylephrine.

Adrenergic drugs mimic the effects of stimulating what part of the nervous system?

sympathetic

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 nurse is preparing to administer an adrenergic agent for shock. Which nursing assessment should be completed with priority?

vital signs

Which patient 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