Chapter 24: adrenergic drugs

A client is experiencing anaphylaxis. What drug will the nurse most likely administer? Epinephrine Norepinephrine Acetylcysteine Dantrolene sodium

Epinephrine

A nurse is providing teaching to a client prescribed midodrine. Which nursing instruction is very important that the client understands? "Midodrine is taken to lower your blood pressure, so you may feel a little light-headed after taking it." "Only take midodrine when standing. Taking it while lying down can cause very high blood pressure." "Only take midodrine when you have eaten first. It can cause ulcers if taken on an empty stomach." "Midodrine is taken for your glaucoma and should be put in your eyes upon waking in the morning."

"Only take midodrine when standing. Taking it while lying down can cause very high blood pressure."

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 man who has a diagnosis of primary hypertension A woman who has been admitted with a suspected ischemic stroke A woman who is in labor and may require a cesarean section

A man who is in cardiogenic shock following a myocardial infarction

A child is brought to the pediatrician's office with trouble breathing. On exam, the child has wheezing in bilateral lung fields. The nurse suspects the provider will order which medication? Alphagan Amoxicillin Albuterol Proamatine

Albuterol

The nurse knows that which of the following clients is likely to have hypovolemic shock? Select all that apply. An infant with severe diarrhea and vomiting A man with a burn on his finger A woman bleeding profusely after giving birth A teenage girl who has been taking 80 mg/day of unprescribed Lasix for five days An elderly man in congestive heart failure

An infant with severe diarrhea and vomiting A woman bleeding profusely after giving birth A teenage girl who has been taking 80 mg/day of unprescribed Lasix for five day

Which condition is treated with an adrenergic agonist? Renal failure Hypertension Tachycardia Anaphylaxis

Anaphylaxis

Mrs. Kelly Johnson, aged 46, was admitted to the hospital due to prior myocardial infarction, or heart attack. The diagnostic test revealed that her heart was unable to pump enough blood to adequately perfuse the vital organs. What type of shock does she seem to have suffered from? Hypovolemic shock Obstructive shock Cardiogenic shock Septic shock

Cardiogenic shock

A client suffering an acute myocardial infarction may develop which type of shock? Cardiogenic--obstructive shock Hypovolemic shock Hypervolemic shock Distributive shock

Cardiogenic--obstructive shock

commonly used for in the treatment of clients in which treatment settings? Select all that apply. Dentist's office Intensive care unit Physical therapy center Emergency department OB-GYN office

Dentist's office Intensive care unit Emergency department

The adrenergic branch of the nervous system controls many functions in the body. The nurse knows that which body functions are controlled by the adrenergic branch? (Select all that apply.) Heart rate Respiratory rate Gross muscle movement Muscle blood flow fine muscle movements

Heart rate Respiratory rate Muscle blood flow

A group of nursing students are reviewing information about the types of shock. The students demonstrate understanding of the information when they identify which as occurring from a significantly diminished blood volume? Hypervolemic shock Cardiogenic--obstructive shock Hypovolemic shock Distributive shock

Hypovolemic shock

The nurse is assessing a client who received epinephrine, an adrenergic drug, for the treatment of cardiac arrest. The nurse would expect to observe what effect of the drug? Increased heart rate Decreased respiratory rate Urinary retention Decreased kidney perfusion

Increased heart rate

Which is an effect of epinephrine? Peripheral vasodilation Increased heart rate Bronchoconstriction Decreased blood pressure

Increased heart rate

The nurse is writing a plan of care for a client receiving an alpha-specific adrenergic agonist. What is the priority component of the client's plan of care? Review the client's complete blood count and electrolytes whenever available. Monitor blood pressure and heart rate frequently. Assess skin turgor for fluid deficit twice per shift. Assess the client's muscle strength bilaterally.

Monitor blood pressure and heart rate frequently.

Epinephrine is contraindicated in clients with which diseases or disorders? Asthma Narrow-angle (or closed-angle) glaucoma Hypotension Bronchoconstriction

Narrow-angle (or closed-angle) glaucoma

A client was brought by ambulance into the emergency department. The client appears disoriented, pale, tachycardic, and hypotensive. There is excessive bleeding from the head and bruises across the cheek and abdomen. What is the priority step in managing this client? Obtain an abdominal CAT scan to see if the client is bleeding internally. Provide basic life support while attempting to treat hypovolemic shock. Obtain a full set of x-rays to determine which bones are broken. Obtain consent from the client to be an organ donor (if it not already marked that on his driver's license).

Provide basic life support while attempting to treat hypovolemic shock.

A nursing student is to write a care plan with priority nursing diagnosis for the client who is severely allergic to bees. Which nursing diagnoses would be correct? Risk for Impaired Immune Response Risk for Hypertension Risk for Impaired Skin Integrity Risk for Allergic Response

Risk for Allergic Response

When describing the adrenergic branch of the autonomic nervous system to a group of nursing students, the instructor would also refer to it as which type of nervous system? Sympathetic nervous system Parasympathetic nervous system Central nervous system Somatic nervous system

Sympathetic nervous system

Drugs that produce activity similar to the neurotransmitter norepinephrine are known as which of the following? Sympatholytics Sympathomimetics Antiadrenergic drugs Anticholinergic drugs

Sympathomimetics

Drugs that produce activity similar to the neurotransmitter norepinephrine are known as which of the following? Sympathomimetics Sympatholytics Antiadrenergic drugs Anticholinergic drugs

Sympathomimetics

A client experiencing a serious allergic reaction to a bee sting is brought to the emergency department. The client'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 which of the clients symptoms? pain and swelling around the sting site. discoloration in her hand. acute anxiety. acute bronchospasm.

acute bronchospasm.

In providing care to a client with wheezing, the nurse knows that a medication targets which receptors? alpha 1 alpha 2 beta 1 beta 2

beta 2

A client is admitted to the emergency department with signs and symptoms of cardiogenic shock. Isoproterenol is administered intravenously. What assessment should the nurse prioritize when monitoring for therapeutic effects? blood pressure level of consciousness deep tendon reflexes signs and symptoms of hemorrhage

blood pressure

Epinephrine causes relaxation of: bronchioles. smooth muscles in the intestinal wall. superficial blood vessels. sphincter muscles.

bronchioles.

A client receives a beta-specific agonist. What would lead the nurse to determine that the drug is effective? Bronchodilation Decreased heart rate Tremor Slowed cardiac conductivity

bronchodilation

The nurse is caring for a client who is receiving an intravenous infusion of dobutamine. What nursing diagnosis has most likely prompted this intervention? impaired gas exchange risk for peripheral neurovascular dysfunction decreased cardiac output ineffective peripheral tissue perfusion

decreased cardiac output

The nurse is admitting a client with injuries following a bicycle crash. When reviewing the client's pre-admission medication regimen, the nurse reads that the client takes formoterol twice daily. When planning this client's care, the nurse should include: frequent respiratory assessments. apical heart rate auscultation. positional blood pressures each shift. monitoring the client for anxiety.

frequent respiratory assessments.

The stimulation of beta1 adrenergic receptors in the heart by epinephrine would cause what result? increased heart rate decreased heart muscle contractions decreased oxygen demand by the myocardium vasoconstriction of the coronary arteries

increased heart rate

The perioperative nurse is caring for a client who is undergoing surgery. What drug should the nurse expect the client to be given if beta-specific adrenergic effects are desired to prevent bronchospasm during anesthesia? dobutamine ephedrine isoproterenol phenylephrine

isoproterenol

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 Subcutaneous Intramuscular Intravenous

oral

The nurse knows that which medications can interact with adrenergic medications and cause hypertension? epinephrine oxytocin Prozac Wellbutrin

oxytocin

The nurse is transcribing new orders for sympathomimetic medications prescribed for a geriatric client. What should the nurse expect the dosage to be? the average adult dosage slightly higher than adult dosages the lowest possible effective dosage approximately half the normal adult dosage

the lowest possible effective dosage

A client goes to his primary care provider for a cut finger. The provider is going to put sutures into the tip of the client's finger. Lidocaine with 2% epinephrine is ordered verbally by the provider. What should the nurse do? Hand him the vial of lidocaine with 2% epinephrine. Ask if he really wants epinephrine in the lidocaine since he is working on the tip of the finger. The nurse remembers from her reading that epinephrine is contraindicated in fingertips. Draw up the lidocaine with epinephrine and give him the syringe. Hand him a vial of lidocaine without epinephrine and say, "This is all we have today".

Ask if he really wants epinephrine in the lidocaine since he is working on the tip of the finger. The nurse remembers from her reading that epinephrine is contraindicated in fingertips.

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? Prepare the family by telling them how sick their loved one is and that he may die. Observe the client closely for seizures, hypothermia, and dementia; if seen, stop the infusion immediately. Continually assess the client for physiological changes and notify the primary care provider with changes. Leave the room so that the client can sleep and not risk sleep deprivation psychosis.

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

An 80-year-old client has been brought to the emergency department in shock. The client is receiving dopamine. The nurse should prioritize the assessment for what potentially serious adverse effect? blood dyscrasias cardiac arrhythmia hepatic toxicity renal insufficiency

cardiac arrhythmia

An adrenergic drug would be prescribed to produce what physiological effect? decreased respiratory rate increased heart rate urine concentration decreased blood pH

increased heart rate

Which adrenergic receptor is responsible for vasodilation of peripheral vessels and bronchodilation? α1 receptors α2 receptors β1 receptors β2 receptors

β2 receptors

The nurse is preparing to administer a sympathomimetic drug to a client. How does this drug achieve a therapeutic effect? stimulating beta receptors and blocking alpha-receptors stimulating alpha-receptors and blocking beta-receptors blocking adrenergic receptors stimulating alpha- and beta-receptors

stimulating alpha- and beta-receptors

Which of the following adrenergic receptors is responsible for increased heart rate and increased force of myocardial contraction? β1 receptors α1 receptors α2 receptors β2 receptors

β1 receptors

Which herbs has been removed from most weight-loss medications due to potential legal liability? Gingko Ginseng Ephedra Rose hips

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? 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 Phenylephrine Albuterol Terbutaline

Epinephrine