Prep U Ch. 27
Which of the following would the nurse expect to be given to a patient experiencing acute bronchospasm? a) Dopamine b) Epinephrine c) Norepinephrine d) Metaraminol
Epinephrine
A client is seen in the emergency department for third-degree burns over 50% of his body. The nurse knows that this client is experiencing what type of shock due to fluid loss?
Hypovolemic shock
The predominant effect in response to activation of alpha-1 receptors by an adrenergic drug is vasoconstriction. True or false?
True
The predominant effect in response to activation of beta1 receptors in the heart is cardiac stimulation. True or False?
True
Epinephrine causes relaxation of: a) Bronchioles. b) Smooth muscles in the intestinal wall. c) Sphincter muscles. d) Superficial blood vessels.
a) Bronchioles
A patient is prescribed regular doses of epinephrine. Which of the following nursing diagnoses is related to comfort and would be most appropriate for this patient? a) Disturbed Sleep Pattern, Insomnia Related to CNS Excitation b) Ineffective Tissue Perfusion c) Disturbed Sensory Perception d) Imbalanced Nutrition: Less Than Body Requirements
a) Disturbed Sleep Pattern, Insomnia Related to CNS Excitation
A client 16 years of age arrives at the emergency department (ED) saying she was stung by a bee and used her EpiPen prior to arriving in the ED. She is breathing well now. What would the nurse do next for this client? a) Obtain from her, and those who were with her, as much information about the bee sting (and her physical reaction to the bee sting) as possible. b) Start an IV and give epinephrine STAT before she goes into cardiac arrest. c) Explain that she needs a parent or guardian to sign admission papers prior to being seen in the emergency department. d) Explain that she is fine and does not need to be seen because she already gave herself the medication.
a) Obtain from her, and those who were with her, as much information about the bee sting (and her physical reaction to the bee sting) as possible.
The adrenergic branch of the autonomic nervous system is also known by which of the following names? (Choose one) a) Sympathetic nervous system b) Somatic nervous system c) Central nervous system d) Parasympathetic nervous system
a) Sympathetic nervous system
A 4-year-old is admitted to the Emergency Department in shock after a motor vehicle accident. The patient is found to be 12.5 kilograms. What would be the minimum safe dose of adrenalin if the pediatric dose is 0.005-0.01 mg/kg IV? a) 0.08 mg b) 0.0625 mg c) 0.085 mg d) 0.075 mg
b) 0.0625 mg
The nurse knows that which class of drugs prevents epinephrine and norepinephrine from occupying receptor sites on the cell membranes? a) Beta-adrenergic drugs b) Beta-adrenergic blocking drugs c) Beta-helping drugs d) Beta-blocking fish
b) Beta-adrenergic blocking drugs
You are the home health nurse caring for a 77-year-old male patient who has just been discharged from the hospital. The patient is taking dobutrex for congestive heart failure. What would be most important to monitor in this patient? a) Availability of caregivers b) Dietary intake c) Compliance with drug regimen d) Effectiveness of comfort measures
c) Compliance with drug regimen
Which of the following is an effect of epinephrine? a) Decreased blood pressure b) Peripheral vasodilation c) Increased heart rate d) Bronchoconstriction
c) Increased heart rate
Which of the following is an effect of epinephrine? a) Peripheral vasodilation b) Decreased blood pressure c) Increased heart rate d) Bronchoconstriction
c) Increased heart rate
An 80-year-old patient has been brought to the Emergency Department in shock. The patient is receiving dopamine (Intropin). What potentially serious adverse effect will the nurse monitor for? a) Renal insufficiency b) Hepatic toxicity c) Blood dyscrasia d) Cardiac arrhythmia
d) Cardiac arrhythmia
The nurse is aware that epinephrine may be administered in what ways? (Select all that apply.) a) Inhalation b) Topical c) Sublingual d) PO e) IV
• Topical • IV • Inhalation