Pharm 2: Exam 1 CH 11, CH 12
A long term care resident is taking an anticholinergic agent. The nurse observes the resident to be disoriented and hallucinating. The priority nursing action is to:
provide for resident's safety.
A patient is being discharged on an adrenergic bronchodilator. Which common adverse effect(s) will the nurse include in discharge teaching?
Palpitations Dizziness Orthostatic hypotension Tremors
The nurse assesses erythema,warmth, and burning pain along the patient's IV site.Which complication is this patient most likely experiencing
Phlebitis
Following the insertion of central venous access device,the nurse notes a weak,thready pulse and decreased blood pressure.The patient complains of shortness of breath and palpitations.which action will the nurse take first?
Place the patient on the left side
The nurse is caring for a patient taking a cholinergic agent. When auscultating lung sounds, the nurse notes inspiratory and expiratory wheezing bilaterally. The best action for the nurse to take would be to:
withhold the next dose and notify the physician.
Which instruction(s) given by the nurse will assist a patient to cope with the common adverse effects of anticholinergic medications?
"Increase fluids daily.""Suck on candy or ice chips."
Why are beta blockers used cautiously in patients with respiratory conditions?
They may produce severe bronchoconstriction.
A patient hospitalized in an acute care setting reports to the nurse that since starting on an adrenergic medication, he has been feeling "dizzy and weak." The most appropriate action for the nurse is to:
monitor the blood pressure in both the supine and standing positions.
Which body function(s) is/are controlled by the autonomic nervous system?
Blood pressure GI secretion Body temperature Urination
Which disorder(s) would indicate the use of anticholinergic agents?
Bradycardia Parkinson's disease Preparation for surgery
What is the composition of hypotonic intravenous solution such as 0.45%NaCI?
Fewer dissolved particles than blood
A 90 year old woman is admitted to an acute care facility with the diagnosis of pneumonia.she has a past medical history of diabetes mellitus,hypertension,and right sided mastectomy.When starting an IV for infusion of antibiotic therapy,the nurse will
attempt insertion into the left antecubital space vein
A patient is admitted with hypovolemia resulting from lack of fluid intake and requires an infusion of isotonic fluids.Which IV solution will the nurse administer?
0.9 NS
A patient with Parkinson's disease asks the nurse why anticholinergics are used in the treatment. Which response by the nurse is most accurate?
"These drugs inhibit the action of acetylcholine."
the note that a patient with cardiac disease has IV heparin infusing and that it is behind by 2 hours.What is the best nursing action?
Contact the health care provider for consultation
An elderly patient receiving an infusion of isotonic fluid at 100 mL/hr complains of dyspnea.The nurse notes shallow rapid respiration and a cough that produces frothy sputum.Which is the priority nursing action?
Elevate the head of the bed
What is the primary response to alpha 1 receptor stimulation?
Vasoconstriction
An older adult patient is to receive atenolol, a beta adrenergic blocking agent. Prior to administration of the drug, the nurse assesses an apical pulse rate of 58 and notes ankle edema. Which action will the nurse take first?
Withhold the medication.
Neurotransmitter(s) include:
gamma aminobutyric acid. acetylcholine. serotonin. histamine. epinephrine.
A patient has a peripherally inserted central catheter(PICC) line inserted to continue IV antibiotic therapy at home.With proper care,how long can this type of venous access device remain in place?
12 Months
A patient with chronic obstructive pulmonary disease (COPD) reports having insomnia and a racing heart after starting terbutaline therapy. Which explanation by the nurse is most accurate?
"The symptoms will tend to resolve with continued therapy."
A patient with a history of type 1 diabetes after myocardial infarction has been placed on a beta adrenergic blocking agent. Which statement by the patient indicates a need for further teaching?
"This medication lowers my blood pressure by helping me get rid of fluid."
What will the nurse explain when teaching a patient about a picc line?(select all that apply)
A: The catheter may have a single or double lumenD: the catheter may be used for drawing blood
Which patient assessment findings suggests extravasation of an IV solution?(select all that apply)
A: coolnessB: EdemaD:pain at veinpuncture siteE: redness at the site
The nurse assesses a patient's right hand IV site to be infiltrated. Appropriate nursing actions include(select all that apply)
A: stopping the infusion C: elevating the affected limb D: checking capillary refill E: removing the catheter as directed by policy
Which nerve endings liberate norepinephrine?
Adrenergic
Which category of medications is used for peripheral vascular diseases characterized by excessive vasoconstriction, such as Raynaud's disease?
Alpha adrenergic blocking agents
The autonomic nervous system can be subdivided into which types of adrenergic receptors?
Alpha and beta
Prior to the administration of metoprolol, a beta adrenergic blocking agent, which is most important for the nurse to assess?
Blood pressure
Which technique by the nurse accurately maintains asepsis of a peripheral IV access device?
Change fluid administration sets according to institutional policy
In assessing a patient with a central venous access device,which sign or symptom indicates that the patient is experiencing an air embolism
Chest pain
Before the initiation of anticholinergic medications, it is important for the nurse to screen patients for which condition?
Closed angle glaucoma
Which condition would alert the nurse of the need to use beta adrenergic blockers cautiously?
Emphysema
the nurse is about to administer a prescribed medication IV push into a patient's Hickman catheter.when providing this medication,the nurse will first
Flush with saline
Which condition would the nurse expect to be treated with an iostonic solution?
Hemorrhagic shock
Which needle is used to access implanted infusion devices?
Huber
A patient is diagnosed with cancer and requires 6 months of chemotherapy infusion.Which type of intravenous(IV) access device will likely be used?
Implanted venous infusion port
Which potential complication will the nurse expect in a patients with a venous access device?
Infection
The nurse determines that an elderly patient's IV of D50.2 NS with 20mEq KCI at 75 mL/hr is running 3 hrs behind.After determining the IV site is patent,what action will the nurse take?
Maintain the ordered rate
Which adverse effect(s) is/are common when a patient is receiving a cholinergic agent?
Nausea Dizziness Bradycardia
A diabetic patient requires the administration of insulin continuously at home. Which system will most likely be used in this instance?
Syringe pump
Which statement(s) is/are true about efferent nerves?
is/are true about efferent nerves? They leave the CNS to carry impulses to other body parts.They are part of the peripheral nervous system.They transmit signals that control contractions of smooth and skeletal muscle.They transmit signals that control contractions of some glandular secretions.
