PHARM. Chapter 30

A patient receives phenylephrine intravenously. The nurse would expect the drug to last for how long?

15 to 20 minutes

Which of the following would the nurse identify as a naturally occurring catecholamine?

Dopamine

Which of the following herbs have been removed from most weight-loss medications due to potential legal liability?

Ephedra

The nurse is teaching a patient about safe use of adrenergic drugs. Which of the following statements should be included in the teaching?

"Talk to your doctor before taking any other medications."

Which of the following patients 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

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

A man who is in cardiogenic shock following a myocardial infarction

A patient has been prescribed dopamine. Which of the following interventions should the nurse perform during the drug regimen?

Administer dopamine only via IV route

A client has an IV of dopamine administered in her right arm. The IV becomes dislodged from the vein and dopamine has been being given in the surrounding tissue instead of the vein. The nurse should stop the IV and do which of the following?

Administer phentolamine (an alpha adrenergic blocking drug) to the site to minimize necrosis.

A patient presents at the emergency department (ED) with severe hypertension. An adrenergic antagonist is ordered. What should you, as the nurse, provide for this patient?

Appropriate teaching for drug therapy

A client is being treated for asthma. Which of the following would the nurse expect to administer?

Beta-2-specific adrenergic agonist

The nurse knows that which class of drugs prevents epinephrine and norepinephrine from occupying receptor sites on the cell membranes?

Beta-adrenergic blocking drugs

Epinephrine causes relaxation of:

Bronchioles.

A patient has been administered dobutamine HCL. Which of the following adverse reactions should the nurse monitor for in the patient?

Cardiac arrhythmias

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 of the following changes monitored in the patient should the nurse report immediately to the primary healthcare provider?

Changes in pulse rate

A patient suffers from bronchial asthma. Which of the following medications is a mixed-acting adrenergic drug?

Ephedrine

A patient suffers from bronchial asthma. Which of the following medications will be administered?

Epinephrine

An instructor is preparing a teaching plan for a group of students about adrenergic agonists. Which of the following would the nurse include as an alpha- and beta-adrenergic agonist?

Epinephrine

Anaphylaxis kits for clients allergic to bee stings would contain which of the following medications?

Epinephrine

Which of the following would the nurse expect to be given to a patient experiencing acute bronchospasm?

Epinephrine

A nurse would instruct a patient to apply a clonidine patch at which frequency?

Every 7 days

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

False

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.

Adrenergic drugs produce which of the following effects?

Increased heart rate

Which of the following is an effect of epinephrine?

Increased heart rate

Stimulation of beta1 adrenergic receptors in the heart results in:

Increased heart rate.

A patient is administered epinephrine in conjunction with a local anesthetic. What effect will epinephrine produce?

Increased vasoconstrictive effects

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

Inhalation

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

MAO inhibitor

A patient has been diagnosed with narrow-angle glaucoma. What ocular effect will be produced if the patient is prescribed an adrenergic agent?

Mydriasis

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

Phenylephrine

A client has been in the intensive care unit for two weeks following his car accident. His primary nurse is concerned that he is not getting the sleep he needs to recover. She decided to write a nursing diagnosis in the client's chart to work on this problem. Which nursing diagnosis would be appropriate to write for this problem?

Risk for Disturbed Sleep Pattern related to living in the intensive care unit for two weeks (noise, light, etc.), as well as side effects from medications

The adrenergic branch of the autonomic nervous system is also known by which of the following names? (Choose one)

Sympathetic nervous system

Which of the following is stimulated during the body's fight-or-flight response to a stressful condition? (Choose one)

Sympathetic nervous system

Another name for adrenergic drugs is:

Sympathomimetic drugs.

Drugs that produce activity similar to the neurotransmitter norepinephrine are known as which of the following? (Choose one)

Sympathomimetics

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?

Systolic blood pressure below 100 mm Hg

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 patient experiencing a serious allergic reaction to a bee sting is brought to the emergency department. The patient'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 the patient's

acute bronchospasm.

A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic antagonist would be to

assess heart rate.

A nurse in the intensive care unit is caring for a patient in shock and has started IV administration of dopamine (Intropin). For a patient in shock, dopamine helps to

increase blood pressure.

Which of the following represent the two types of receptors that are found in the adrenergic nervous system? Select all that apply:

• Alpha receptors • Beta receptors

In order to improve client outcomes, early recognition of the signs and symptoms of shock by the nurse is important. A nurse is caring for a client that has recently suffered an acute myocardial infarction. Which of the following are signs and symptoms of shock for which the nurse should monitor the client? Select all that apply:

• Decreased urinary output • Hypoxia • Tachypnea

Adrenergic medications are commonly used for treatment in which of the following places? Select all that apply.

• Dentist office • Intensive care unit • Emergency department

Which of the following adverse effects might a client receiving clonidine exhibit? (Select all that apply).

• Photophobia • Personality changes • Difficulty urinating

Which of the following would a nurse expect as a possible adverse effect when administering a beta-specific adrenergic agonist? Select all that apply.

• Restlessness • Headache