NUR 117 Pharmacology Test 2 study set
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1 to 2 hours
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A 47-year-old female with hypertension
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Alzheimer's disease
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False
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It blocks the parasympathetic vagal stimulation.
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It stimulates the parasympathetic nervous system.
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Jack should be cautioned about blurred vision and its hazards.
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Keep well hydrated
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Labetalol
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
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All the above
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Alpha receptors
The nurse is administering an adrenergic agonist to a client. The nurse realizes that this medication will cause stimulation of the sympathetic nervous system. Which effects will it produce? Select all that apply.
Bronchodilation Decreased bladder tone
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Cardiac arrhythmias
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Cardiac dysrhythmias
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Increase in the level of acetylcholine in CNS
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Increased heart rate
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Inhalation
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Instruct the client's family to withhold the next dose and the nurse will contact the prescribing provider.
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Intestinal obstruction
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Phentolamine mesylate (Regitine)
When applied topically to the eye, which drug produces dilation of the pupil without changing accommodation?
Phenylephrine
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Phenylephrine
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Photophobia
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Positional blood pressure changes
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St. John's wort
The adrenergic branch of the autonomic nervous system is also known by which name?
Sympathetic nervous system
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Sympathetic nervous system
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Sympathomimetics
Another name for adrenergic drugs is:
sympathomimetic drugs.
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""I should never stop taking this drug abruptly."
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"Be sure to take the drug on an empty stomach."
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"Beta blockers provide membrane-stabilizing effects that contribute to the anti-arrhythmic activity."
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"Clonidine is sometimes prescribed for severe pain in cancer clients like this client."
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"Do not drive or operate machinery."
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"Has your urine stream improved since beginning the medication?"
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"I can stop the drug once my blood pressure is controlled."
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"I feel a "fluttering" feeling in my heart."
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"I need to exercise frequently outside in the warm weather."
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"Physiologic changes resulting from the normal aging process place older adults at higher risk for adverse effects."
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"Take this drug with food to help promote its absorption."
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"Talk to your health care provider before taking any other medications."
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"The administration of propranolol will decrease your heart rate.
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"The drugs are best used early as they slow the progression of AD."
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30 minutes before meals
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5 minutes
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A 35-year-old post-MI female with a heart rate of 42 bpm
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A man who is in cardiogenic shock following a myocardial infarction
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Acetylcholine
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Active hepatic disease
A patient has been prescribed midodrine. Which intervention should the nurse perform to ensure that the patient doesn't develop supine hypertension?
Administer midodrine during the day.
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decrease cardiac workload.
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Anticholinergics
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Atenolol
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Atropine
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Atropine acts mainly to decrease the spasm-producing effect of morphine.
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Explain to the client that the medication is contraindicated because of her medical history
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Benign prostatic hypertrophy
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Beta receptors
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Beta-adrenergic blockers
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Beta-adrenergic blocking drugs
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Beta2 receptor blockade use results in less effective glucose metabolism, especially when accompanied with anti-diabetic medications.
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Bethanechol
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Blood glucose
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Call the provider and advise them of the client's blood pressure prior to administering the medication.
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Carvedilol
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
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Cholinergic blocking
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Cholinergic blocking drug
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Cholinergic stimulation in her infant
Which agent would the nurse identify as being available in a transdermal form?
Clonidine
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Continually assess the client for physiological changes and notify the primary care provider with changes.
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Decrease the heart rate
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Decreased itching
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Degeneration of cholinergic pathways
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Discontinue the cholinergic medication secondary to the diagnosis of bradycardia.
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Discontinuing the medication too quickly can result in sensitization of the heart muscle.
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Dizziness
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Donepezil
After reviewing the topic of catecholamines, a group of students demonstrates the need for additional study when they identify which as a synthetic catecholamine?
Dopamine
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Dopamine
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Edrophonium
Which herbs has been removed from most weight-loss medications due to potential legal liability?
Ephedra
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Ephedra
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Ephedrine
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Epinephrine
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Every 3 days
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Exelon
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Fever
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Gastrointestinal bleeding
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Glaucoma
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Having small, frequent meals
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Headache
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Heart block
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Hypersensitivity to sulfites
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Hypertension may be a side effect of the medication.
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Hyperthyroidism
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Increase bulk in the diet.
List of examples of brand and generic name
List of examples of brand and generic names for beta blockers available? acebutolol (Sectral) atenolol (Tenormin) betaxolol (Kerlone) betaxolol (Betoptic S) bisoprolol fumarate (Zebeta) carteolol (Cartrol, discontinued) carvedilol (Coreg) esmolol (Brevibloc) labetalol (Trandate [Normodyne - discontinued]) metoprolol (Lopressor, Toprol XL) nadolol (Corgard) nebivolol (Bystolic) penbutolol (Levatol) pindolol (Visken, discontinued) propranolol (Hemangeol, Inderal LA, Inderal XL, InnoPran XL) sotalol (Betapace, Sorine) timolol (Blocadren, discontinued) timolol ophthalmic solution (Timoptic, Betimol, Istalol)
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Miosis
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Myasthenia gravis
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Namenda.
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Nausea
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Neostigmine
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Older clients have a greater chance of adverse reactions to cholinergic blocking drugs.
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Oral
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Orally
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Otic medications are less likely to cause complications.
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Parkinson's disease
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Propranolol
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Scopolamine
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Seizures
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Sinus bradycardia
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Skin flushing
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Systolic blood pressure below 100 mm Hg
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Tamsulosin.
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The medication causes vasoconstriction, limiting the blood flow to the area.
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The proper method for instilling eye drops
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The pulse is less than 60 beats per minute.
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The systolic blood pressure is less than 90 mmHg.
types of beta receptors
There are three types of beta receptors and they control several different functions based on their location in the body. beta-1 (β1) receptors are located in the heart, eye, and kidneys. beta (β2) receptors are found in the lungs, gastrointestinal tract, liver, uterus, blood vessels, and skeletal muscle. beta (β3) receptors are located in fat cells. Beta blockers primarily block β1 and β2 receptors and thereby the effects of norepinephrine and epinephrine. By blocking the effects of norepinephrine and epinephrine, beta blockers reduce heart rate; reduce blood pressure by dilating blood vessels; and may constrict air passages by stimulating the muscles that surround the air passages to contract considered an adverse side effect).
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There is irregularity in the client's heart rate or rhythm.
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This is cholinergic crisis, and the provider needs to be notified immediately.
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To dry up respiratory secretions to prevent aspiration during surgery
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True
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Urinalysis
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
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Vital signs
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a 70 year old diagnosed with primary hypertension
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additional anticholinesterase inhibitors
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administer phentolamine (an alpha adrenergic blocking drug) to the site to minimize necrosis.
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administering a PRN anti-diarrhea medication
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an adrenergic antagonist.
Beta blockers
any of a class of drugs that prevent the stimulation of the adrenergic receptors responsible for increased cardiac action. Beta blockers are used to control heart rhythm, treat angina, and reduce high blood pressure.
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assess heart rate.
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assessment of physiological response to sexual function
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atropine
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autoimmune
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increased heart rate
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beta 2
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bronchioles.
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cholinergic overdose
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constipation and dry mouth.
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dilate the pupils.
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donepezil
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epinephrine
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excessive stimulation of the parasympathetic nervous system
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flushing
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.
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history of acute myocardial infarction.
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hypertension
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hypoglycemia.
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implementing interventions to minimize risks associated with dizziness
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.
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increase blood pressure.
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increased parasympathetic dominance.
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increased vasoconstrictive effects
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intraocular pressure decreases
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left sided ventricular dysfunction
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monitoring for presence of urinary urgency
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obtain and document the client's blood pressure in both a sitting and lying position
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phenylephrine.
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right sided heart failure