Pharm quiz 1

A nurse is conducting discharge teaching with a client being discharged on clonidine the nurse would instruct the client about which reaction as a possible adverse reaction select all that apply

Dry mouth , sedation

A nirse working in the emergency department is prepared to provide care to clients with a variety of disorders which potential conditions should the nurse be orepared to administer a prescribed adrenergic drug?

Hypovolemic shock, respiratory distress, allergic reactions, cardiac arrest

A nurse is caring for a client who has been receiving an adrenergic medication which statement by the client alert the nurse about an adverse effect of the medication and the reason to call the prescriber

I feel a fluttering feeling of my heart

Our client is prescribed dopamine which point with the nurse include is the clients plan of care

I ministering dopamine only via IV route

A nurse is teaching a class on how to use an auto injector as treatment for an allergic reaction the nurse determines additional teaching a necessary when the client makes which statement

I should administer that does and then called 911 if I'm alone

A client with hypertension is prescribed clonidine the nurse should question this order if which disorder is noted in the clients history?

Active hepatic disease, mental depression

After teaching a group of nursing students about sympatholytic drugs the instructor determines that the teaching was successful when the students correctly choose which groups as an example select all that apply

Alpha adrenergic blockers, beta adrenergic blockers

The nursing imstructor has completed teaching a group of students about the adrenergic nervous system. The instructor determines the class is successful when the students correctly choose which types of receptors are utilized by this system?

Alpha, beta

A group of nursing students are comparing the different types of shock. The instructor determines the teaching is successful whe which shock as a type of distributive shock? Select all that apply.

Anaphylactic

After teaching a group of nursing students about adrenergic drugs and their effects the instructor determines the teaching was successful and the students correct they choose which has an effect of these drugs

Increase cardiac output

The nursing instructor is preparing to teach a class discussing the various classes of drugs which are used to block or inhibit the sns. Which classes of drugs will the instructor point out to the students?

Antiadrenergic drugs. Adrenergic blocking drugs, sympatholytics

A nurse is caring for a client who has been prescribed propranolol for angina after administering the drug which action would the nurse do?

Ask about relief of symptoms and record responses on the chart

A nurse is preparing to administer propranolol to several clients the nurse determines clients with which disorder necessitate close monitoring select all that apply

Asthma, diabetes, peptic ulcer disease

Prior to administration of adrenergic blocking drug for hypertension, which should the nurse assess first?

Bp

The nurse is preparing to administer dobutamine to a client with cardiac concerns which assessments should the nurse prioritize before administering this drug

Bp respiratory rate pulse loc

Americe is monitoring a client receiving IV dobutamine which assessment findings should the nurse prioritize

Cardiac arrhythmias

A group of nursing students are analyzing information about adrenergic blockers in preparation for an examination the instructor determines the teaching is successful when the students correctly choose which drugs as alpha/beta adrenergic blocking drugs? Select all that apply

Carveddilol, labetalol

A nursing instructor has just completed a session explain the different types of shock the instructor the terms a session and successful after the student correctly choose which conditions which can result in distributive shock

Central line infection spinal cord injury allergic drug reaction

A Kia presents the Mergen see department following a tragic accident the nurse prepares to administer and adrenergic agent after assessing the signs of shock which includes which finding

Changes in consciousness

A nurse is preparing to administer a transdermal adrenergic blocker which medication would the nurse be preparing to administer

Clonidine

A client is prescribe Norepinephrine IV which actions would be appropriate for the nurse to do select all that apply

Continuously monitor the clients blood pressure checked IV insertion site for leakage assess the clients urinary output hourly

A nurse prepares to administer atenolol to a client who has recently suffered an acute MI the nurse anticipates the client will experience which changes related to this medication select all that apply

Decrease the hearts workload, decrease heart rate

A client with Parkinson's disease has been using levodopa the client is now prescribed labetalol for hypertension which finding should the nurse prioritize if noted on assessment

Decreased effect of levodopa

A client who is receiving a beta blocker tells the nurse that he also takes ibuprofen for arthritis pain the nurse would be alert for which reaction

Decreased effect of the beta blocker

The nurse is preparing to administer medications to several cloents on the unit the nurse should question providing isoproterenol to client which documented medical history

Digitalis toxicity, ventricular arrhythmias, angina pectoris

A nurse is caring for a client with benign prostatic hypertrophy which drug would the nurse expect to be prescribed as treatment select all that apply

Doxazosin, alfuzosin, tamsulosin

The nurse instructor has completed teaching a group of nursing students about beta adrenergic receptors instructor determines the teaching was successful when the student correctly choose which areas of the body the beta adrenergic receptors are found select all that apply

Eyes, lungs

A client with congestive heart failure is prescribed dopamine which findings from the ongoing assessment should the nirse prioritize

Headache, hypotension, cardiac arrhythmias, nausea

Client with orthostatic hypertension is prescribed midodrine. The nurse will instruct the client to report which adverse reactions to the healthcare provider

Headaches dizziness difficulty urinating

An elderly client is prescribed metoprolol which assessment finding should the nurse prioritize select all that apply

Heart failure, peripheral vascular insufficiency, confusion, worsening angina

A nursing instructor has finished teaching a group of nursing students the basic functions of the autonomic nervous system. The instructor determines the teaching is successful when the students correctly choose whoch functions as controlled by the ans?

Heart rate, blood pressure, glandular secretions, gi activity

I nurse is preparing to minister dobutamine to a client who is also receiving a beta adernergic blocking agent which assessment finding will the nurse prioritize after ministering both drugs

Hypertension

A nirse is caring for a client after an acute myocardial infarction which sign or symptom should the nurse prioritize for immediate treatment if noted on assessment?

Hypertension, hypoxia, tachypenea, bradycardia

A client with a seizure disorderis prescribed phenytoin the nurse prepares to carefully monitor the client for which potential adverse reaction if dopamine is also added to the regimen

Hypotension, bradycardia, seizure

The nursing instructor has led a discussion on the effects of adrenergic drugs on the bodyThe instructor determines a session is successful when the student correctly choose which has the effect of beta-1 receptors stimulation

Increase force of myocardial contractions

A client presents to the emergency department reporting the heart fluttering and feeling anxious. After administering isoproterenol the nurse monitors the client for which potential result?

Increased use of glucose, decreased gastric motility, wakefulness

The nurse is preparing a teaching plan for a client who is prescribed labetalol which potential reactions should the nurse point out? Select all that apply

Insomnia, drowsiness, fatigue

A client is admitted with reports of severe chest pain. The nurse is prepared to administer which potential sympathomimetic drug to client

Isoproterenol, dopamine, epinephrine

A client with cardiac arrhythmia is treated with a centrally acting anti adrenergic drug the nurse would assess the client for which sign or symptom as a possible adverse reaction?

Malaise

A client is taking prazosin Is experiencing lightheadedness and dizziness when standing up. What are important to include in teaching the client about the medication? Select all that apply.

Oh boy a long hot shower, change position slowly, take your blood pressure while sitting and then by standing.

A nurse is caring for a client with an arrhythmia which assessment would the nurse prioritize for a client with a life threatening arrhythmia who is receiving an adrenergic blocking drug iv

Perform continuous cardiac monitoring

The nurse is preparing to minister phentolamone to a client which condition will the nurse anticipate to know in the medical record select all that apply

Pheochromocytoma- induced hypertension preoperative hypertension treatment of dopamine extravasation tissue damage

A client with hypertension is to begin treatment with a beta adrenergic blockers the nurse predicts the client will potentially begin with which medication select all that apply

Propranolol, metoprolol, atenolol

The nurse is caring for a client who recently suffered a MI when preparing to administer propranolol the nurse would hold the dose and contact the health care provider of which assessment finding were noted? Select all that apply

Pulse less than 60 bpm, irregular pulse, systolic pressure less than 90 mm hg

An older client with acute sinusitis is administered epinephrine emergently The nurse should prioritize reporting a change in which assessment finding to the healthcare provider

Pulse rate

A nurse would administer phentolamine cautiously to a client with which condition select all that apply

Recent Mi, renal failure

A nurse is preparing to administer a centrally acting adrenergic blocker to a group of clients the nurse would be especially cautious when administering the drug to the client with which disorder

Renal function impairment

A client presents to the Mergen see department were reports of itching and throat tightness on assessment the nurse notes urticaria And flashing which nursing diagnoses well the nurse determine is most appropriate for this client

Rest for allergy response

A client with hypertension has been receiving nadOLOL And is now reporting dizziness on standing. The nurse know it's a significant drop in the blood pressure when checking it lying, sitting, and standing. Which nursing diagnosis should the nurse conclude is most appropriate for this clients plan of care?

Risk for injury

A client with hypertension is prescribed acebutolol the nurse should question this order if the client is also currently prescribed which drug? Select all that apply

Sertralone, phenelzine, naproxen, oxaprozin, fluoxetine

The nurse is preparing to administer metaraminol to a client The nurse will explain to the client with route will be used for minister this medication

Subcutaneous intramuscular intravenous

I nurse is monitoring the vital signs of a client who has received epinephrine the nurse would report which assessment finding

Systolic blood pressure below 100 MMHG

Hello sister going to teach the client with intractable orthostatic hyportension about the midodrine Which has been prescribed which instruction will the nurse prioritize in the teaching

Take midodrine during the day while awake

A nurse is preparing to administer propranolol. Which are safety concerns that would alert the nurse to hold the medication? Select all that apply.

The pulse is less than 60 bpm, the client reports dizziness upon standing, the systolic blood pressure is less than 90 MMHG

A client is asking how Alpha adrenergic blocking medications work. Which is the nurses best response?

They relax the smooth muscle of blood vessels by vasodilation

A nurse is caring for a client with glaucoma which beta adrenergic blocking drugs are used to treat glaucoma? Select all that apply

Timolol, betaoxolol

A client with a cardiac problem is treated with beta adrenergic blocking drugs which reaction should the nurse point out as a cardiac reaction that impacts the body when a beta adrenergic blocking drug is given to the client

Vertigo

A nurse is preparing to administer an Adrenergic agent for shock which nursing assessment should be completed quickly and accurately

Vital signs

A nurse is preparing to administer propranolol to a client for the treatment of cardiac arrhythmia the nurse checks the clients apical pulse rate and blood pressure before administer and notes the pulse rate is 58 bpm which action would the nurse prioritize?

Withhold the drug and contact primary

A client discloses the recent use of a cold remedy containing ma huang to the nurse on a followup visit the nurse should point out the client should avoid ma huang of they are currently taking which medication

guanethidine oxytocin halothane