Pharm Ch 30 Adrenergic Agonists

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: apical heart rate auscultation. positional blood pressures each shift. frequent respiratory assessments. monitoring the client for anxiety.

frequent respiratory assessments

Which adrenergic receptor is responsible for vasodilation of peripheral vessels and bronchodilation? α1 receptors β1 receptors α2 receptors β2 receptors

β2 receptors

A client is receiving phenylephrine via intramuscular injection. The nurse would expect the drug to begin acting in approximately which amount of time? 1 to 5 minutes 5 to 10 minutes 10 to 15 minutes 15 to 20 minutes

10 to 15 minutes

A patient receives phenylephrine intravenously. The nurse would expect the drug to last for how long? 25 to 30 minutes 15 to 20 minutes 5 to 10 minutes 35 to 40 minutes

15 to 20 minutes

The nurse is teaching a client about safe use of adrenergic drugs. Which statement should be included in the teaching? "Tell your health care provider if you are allergic to penicillin." "You shouldn't take cold remedies or appetite suppressants while on this drug, but you can take any other medication safely." "You can take cold medications while on this drug, but talk to your health care provider about other medications." "Talk to your health care provider before taking any other medications."

"talk to your health care provider before taking any other medications."

Which herbs has been removed from most weight-loss medications due to potential legal liability? Gingko Ephedra Ginseng Rose hips

ephedra

The nurse would contact the health care provider before administering an adrenergic drug to a client who is also taking which drug? Antibiotic MAO inhibitor Diuretic Analgesic

MAO inhibitor

A patient suffers from bronchial asthma. Which medication is a mixed-acting adrenergic drug? Epinephrine Isoproterenol Ephedrine Pseudoephedrine

ephedrine

Which patient 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 A 17-year-old female with symptoms of an upper respiratory infection A 62-year-old male with gout A 52-year-old male with adult-onset diabetes

a 47-year old female with hypertension

Which client is most likely to benefit from the administration of an adrenergic agonist? A woman who is in labor and may require a cesarean section A man who has a diagnosis of primary hypertension A woman who has been admitted with a suspected ischemic stroke A man who is in cardiogenic shock following a myocardial infarction

a man who is in cardiogenic shock following a myocardial infarction

Which of the following adrenergic receptors is responsible for the vasoconstriction of peripheral blood vessels? α1 receptors β1 receptors α2 receptors β2 receptors

a1 receptors

A patient has been prescribed dopamine. Which intervention should the nurse perform during the drug regimen? Monitor blood pressure every half hour. Administer dopamine only via IV route. Maintain a fixed rate of administration. Dilute dopamine with sodium bicarbonate.

administer dopamine only via IV rout

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. Pupil constriction Decreased heart rate Bronchodilation Decreased bladder tone

bronchodilation decreased bladder tone

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 Changes in appetite Changes in glucose level Changes in temperature

changes in pulse rate

Which agent would the nurse identify as being available in a transdermal form? Phenylephrine Clonidine Midodrine Salmeterol

clonidine

A nurse suspects that a client is experiencing shock based on which assessments? Select all that apply. Cyanosis Dry, flushed skin Urine output 45 mL/hr Disorientation Tachypnea

cyanosis disorientation tachypnea

Which would the nurse expect to be prescribed to a client experiencing acute bronchospasm? Epinephrine Dopamine Metaraminol Norepinephrine

epinephrine

A nurse would instruct a patient to apply a clonidine patch at which frequency? Every other day Every 7 days Every day Every 5 days

every 7 days

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

false

The nurse is assessing a client who received epinephrine, an adrenergic drug, for the treatment of cardiac arrest. The nurse would expect to observe what effect of the drug? Increased heart rate Urinary retention Decreased kidney perfusion Decreased respiratory rate

increased heart rate

The stimulation of beta1 adrenergic receptors in the heart by epinephrine would cause what result? decreased heart muscle contractions decreased oxygen demand by the myocardium increased heart rate vasoconstriction of the coronary arteries

increased heart rate

Which is an effect of epinephrine? Decreased blood pressure Increased heart rate Peripheral vasodilation Bronchoconstriction

increased heart rate

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

inhalation

A home care nurse is visiting a patient to assess blood pressure and heart rate. The patient's grandson has a large amount of pseudoephedrine (Sudafed) in the kitchen. For what might the nurse suspect the patient's grandson is using the pseudoephedrine? To increase appetite Methamphetamine production Treatment of sinusitis Treatment of bronchial asthma

methamphetamine production

Epinephrine is contraindicated in clients with which diseases or disorders? Bronchoconstriction Hypotension Asthma Narrow-angle (or closed-angle) glaucoma

narrow-angle (or closed-angle) glaucoma

What would be most important for the nurse to assess in a client receiving midodrine? Positional blood pressure changes Changes in respiratory rate Appetite changes Changes in urinary output

positional blood pressure changes

The nurse is reviewing the history of a client receiving isoproterenol. Which would the nurse identify as being a contraindication? Pheochromocytoma Hypovolemia Pulmonary hypertension Glaucoma

pulmonary hypertension

Phentolamine is the agent used to treat extravasation of dobutamine. False True

true

After reviewing the topic of catecholamines, a group of students demonstrates the need for additional study when they identify which as a synthetic catecholamine? Dobutamine Dopamine Metaraminol Ephedrine

dopamine

Which receptor does phenylephrine stimulate? Beta1 Alpha1 Beta2 Alpha2

alpha1

Which condition is treated with an adrenergic agonist? Anaphylaxis Tachycardia Renal failure Hypertension

anaphylaxis

A priority nursing assessment for a client who is to receive an alpha- or beta-adrenergic agonist would be to which action? measure urine output. assess heart rate. check blood glucose level. monitor respiratory rate.

assess heart rate

In providing care to a client with wheezing, the nurse knows that a medication targets which receptors? beta 2 alpha 2 beta 1 alpha 1

beta 2

What would a nurse expect to administer if a client who is receiving isoproterenol develops a severe reaction? Narcotic antagonist Neuromuscular blocking agent Sympathomimetic agents Beta-adrenergic blockers

beta-adrenergic blockers

Epinephrine causes relaxation of: bronchioles. superficial blood vessels. sphincter muscles. smooth muscles in the intestinal wall.

bronchioles

A client receives a beta-specific agonist. What would lead the nurse to determine that the drug is effective? Decreased heart rate Tremor Bronchodilation Slowed cardiac conductivity

bronchodilation

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? Observe the client closely for seizures, hypothermia, and dementia; if seen, stop the infusion immediately. Continually assess the client for physiological changes and notify the primary care provider with changes. Prepare the family by telling them how sick their loved one is and that he may die. Leave the room so that the client can sleep and not risk sleep deprivation psychosis.

continually assess the client for physiological changes and notify, the primary care provider with changes

A nurse is caring for a patient who is on a drug regimen of midodrine to treat hypotension. What would be an appropriate nursing diagnosis to include in the care plan of this patient? Impaired skin integrity related to dermatological effects Offer support and encouragement to help the patient deal with the diagnosis and the drug regimen Disturbed sensory perception (visual, kinesthetic, tactile) related to CNS effects Acute pain related to GI distress, cough, skin effects, and headache

disturbed sensory perception (visual, kinesthetic, tactile) related to CNS effects

The nurse is reviewing the history of a patient who is to receive midodrine. Which would alert the nurse to a contraindication for the drug? Thyrotoxicosis Diabetes Glaucoma Vasomotor spasm

glaucoma

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. The drug is only absorbed locally. Side effects are limited to inflammation of the conjunctiva. Allergic and adverse reactions are rare.

hypertension may be a side effect of the medication

Which assessment finding would indicate to the nurse that the administered isoproterenol is effective? Decreased heart rate Bronchoconstriction Improved cardiac contractility Uterine contraction

improved cardiac contractility

The client is given epinephrine for an exacerbation of asthma. What response to the medication would the nurse expect? Increased ease of breathing and increased heart rate Bronchodilation and decreased heart rate Increased heart rate and respiratory rate Decreased inflammation and increased heart rate

increased ease of breathing and increased heart rate

The nurse is admitting a client with a complex health history who will be prescribed midodrine. The nurse should call the provider to discuss the potentially dangerous combination of midodrine and what drug? Ibuprofen Hydrochlorothiazide Oxycodone Olanzapine

olanzapine

The intravenous line of a client receiving dobutamine infiltrates and the drug extravasates. The nurse would infiltrate the site with: sodium bicarbonate. hyaluronidase. lactated Ringer's solution. phentolamine.

phentolamine

A 27-year-old client has been in the intensive care unit for two weeks following a car accident. The primary nurse is concerned that the client is not getting the rest needed for recovery. Which nursing diagnosis would be appropriate for this problem? Risk for Disturbed Sleep Pattern related to hospitalization Risk for Body Image Disturbance related to injuries Risk for Psychosis related to head injury Risk for Narcolepsy related to nighttime wakefulness

risk for disturbed sleep pattern related to hospitalization

The nurse knows that what is an added benefit of epinephrine in cardiac arrest situations due to asystole or pulseless electrical activity? Reduces seizure activity Increases oxygenation to the brain Increases oxygenation to the myocardium Stimulates electrical and mechanical activity

stimulates electrical and mechanical activity

The adrenergic branch of the autonomic nervous system is also known by which name? Sympathetic nervous system Central nervous system Parasympathetic nervous system Somatic nervous system

sympathetic nervous system

Drugs that produce activity similar to the neurotransmitter norepinephrine are known as which of the following? Sympatholytics Sympathomimetics Antiadrenergic drugs Anticholinergic drugs

sympathomimetics