chapter 30 lippincott quizzes
Which herbs has been removed from most weight-loss medications due to potential legal liability?
Ephedra
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
The nurse is teaching a client about safe use of adrenergic drugs. Which statement should be included in the teaching?
"Talk to your health care provider before taking any other medications."
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 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?
Administer phentolamine to the site.
Which condition is treated with an adrenergic agonist?
Anaphylaxis
what would a nurse expect to administer if a client who is receiving isoproterenol develops a severe reaction?
Beta-adrenergic blockers
A patient has been administered dobutamine HCL. Which adverse reactions should the nurse monitor for in the patient?
Cardiac arrhythmias
Contraindications to adrenergic drugs include what conditions?
Cardiac arrhythmias Hyperthyroidism Hypersensitivity to sulfites
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?
Changes in pulse rate
Which agent would the nurse identify as being available in a transdermal form?
Clonidine
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
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 patient who is on a drug regimen of midodrine to treat hypotension. What would be an appropriate nursing diagnosis to include in the care plan of this patient?
Disturbed sensory perception (visual, kinesthetic, tactile) related to CNS effects
Which would be the nurse need to keep in mind about the use of dobutamine for treating heart failure?
Does not raise myocardial oxygen demand
A patient suffers from bronchial asthma. Which medication is a mixed-acting adrenergic drug?
Ephedrine
A client is experiencing anaphylaxis. What drug will the nurse most likely administer?
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?
Epinephrine
Which would the nurse expect to be prescribed to a client experiencing acute bronchospasm?
Epinephrine
Stimulation of the adrenergic receptor sites by sympathomimetic drugs is classified as either __________ or ___________
direct, indirect
A male client is prescribed an adrenergic ophthalmic medication. What should the nurse include in the teaching plan?
Hypertension may be a side effect of the medication.
Which assessment finding would indicate to the nurse that the administered isoproterenol is effective?
Improved cardiac contractility
A client is administered epinephrine in conjunction with a local anesthetic. What effect will epinephrine produce?
Increased vasoconstrictive effects
While learning about adrenergic prototype drugs, which prototype drug would the students learn has a duration of action of only 1-2 minutes?
Isoproterenol
The nurse would contact the health care provider 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 clients with which diseases or disorders?
Narrow-angle (or closed-angle) glaucoma
Epinephrine can be administered by multiple routes. Which is not an appropriate route
Oral
Which agent would the nurse expect to find when reviewing over-the-counter allergy products?
Phenylephrine
Which would a nurse expect as a possible adverse effect when administering a beta-specific adrenergic agonist?
Restlessness Headache
A 27-year-old client has been in the intensive care unit for two weeks following a car accident. The primary nurse is concerned that the client is not getting the rest needed for recovery. Which nursing diagnosis would be appropriate for this problem?
Risk for Disturbed Sleep Pattern related to hospitalization
Drugs that produce activity similar to the neurotransmitter norepinephrine are known as which of the following?
Sympathomimetics
The sympathomimetic drug of choice to treat patients with shock is
dopamine
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?
albuterol
Which receptor does phenylephrine stimulate?
alpha1
Epinephrine causes relaxation of:
bronchioles.
Patients receiving isoproterenol should be monitored for adverse pulmonary effects including __________,___________ ,____________ ,______ and severe__________ .
difficulty breathing coughing bronchospasm pulmonary edema
Adrenergic agonists are used in ophthalmic preparations to ___________ the pupils.
dilate
An increased dosage of digoxin would be needed if the patient is also taking midodrine.
false
Dobutamine is a naturally occurring catecholamine that increases cardiac oxygen demand.
false
Sympathomimetic drugs are not currently recommended for use in pediatric patients.
false
Which adrenergic receptor is responsible for vasodilation of peripheral vessels and bronchodilation?
β2 receptors
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.
A patient is receiving salmeterol. The nurse would expect this drug to be given by which route?
inhalation
Which medication is a synthetic catecholamine prescribed for the treatment of bradycardia?
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
The intravenous line of a client receiving dobutamine infiltrates and the drug extravasates. The nurse would infiltrate the site with:
phentolamine.
Many cold and allergy medications contain the alpha-agonist , which helps constrict topical blood vessels, decreases swelling, and relieves the symptoms of rhinitis.
phenylephrine
A client is taking an OTC allergy product. The nurse would expect to find that this product most likely contains:
phenylephrine.
Dopamine increases blood pressure and stimulates the heart without compromising renal blood flow.
true
Epinephrine is one of the primary sympathomimetic drugs recommended for treatment of bronchospasm.
true
Patients who are prescribed adrenergic agonists should limit caffeine intake to prevent adverse effects, including elevated blood pressure and stroke.
true
Phentolamine is the agent used to treat extravasation of dobutamine.
true
A nurse would instruct a patient to apply a clonidine patch at which frequency?
every 7 days
