Ch. 30 Karch Prep-U

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

15-20

What would a nurse expect to administer if a client who is receiving isoproterenol develops a severe reaction?

Beta Blocker

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

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

Which adrenergic receptor is responsible for vasodilation of peripheral vessels and bronchodilation?

B2

A client is being treated for asthma. What would the nurse expect to administer?

B2 Specific

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

B1

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

B2

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

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

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

Cardiogenic shock

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.

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?

Epi

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

False

A priority nursing assessment for a client who is to receive an alpha- or beta-adrenergic agonist would be to which action?

HR

A nurse monitoring a client receiving dopamine should be aware of which adverse reactions that may result? (Select all that apply.)

Headache Cardiac arrhythmias Nausea

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

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

Restlessness Headache

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

Sympathomimetics

Phentolamine is the agent used to treat extravasation of dobutamine.

True

Adrenergic drug

increase HR

The stimulation of beta1 adrenergic receptors in the heart by epinephrine would cause what result?

increased heart rate

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

inhale