Adrenergic Agonists
A patient is receiving salmeterol. The nurse would expect this drug to be given by which route?
inhalation
A nurse is caring for a client who has been receiving an adrenergic medication. Which statement by the client alerts the nurse about an adverse effect of the medication and a reason to call the prescriber?
"I feel a "fluttering" feeling in my heart."
The nurse is teaching a client about safe use of adrenergic drugs. Which statement should be included in the teaching?
"Talk to your health care provider before taking any other medications."
A client is receiving phenylephrine via intramuscular injection. The nurse would expect the drug to begin acting in approximately which amount of time?
10 to 15 minutes
Which client is most likely to benefit from the administration of an adrenergic agonist?
A man who is in cariogenic shock following a MI
The nurse would contact the health care provider before administering an adrenergic drug to a client who is also taking which drug?
MAO inhibitor
The adrenergic branch of the autonomic nervous system is also known by which name?
sympathetic nervous system
Which client is most likely to benefit from the administration of an adrenergic agonist?
a man who is in cariogenic shock following a myocardial infarction
A priority nursing assessment for a client who is to receive an alpha- or beta-adrenergic agonist would be to which action?
assess heart rate
The nurse knows that which class of drugs prevents epinephrine and norepinephrine from occupying receptor sites on the cell membranes?
beta-adrenergic blocking drugs
What would a nurse expect to administer if a client who is receiving isoproterenol develops a severe reaction?
beta-adrenergic bockers
epinephrine causes relaxation of
bronchioles
A patient has been administered dobutamine HCL. Which adverse reactions should the nurse monitor for in the patient?
cardiac arrhythmias
A nurse is caring for a 25-year-old client who is being given an adrenergic drug for shock. Which action should the nurse do?
continually assess the client forp physiological changes and notify the primary doctor with changes
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
Which would the nurse identify as a naturally occurring catecholamine?
dopamine
Which herbs has been removed from most weight-loss medications due to potential legal liability?
ephedra
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?
epinephrine
Which medication will most likely be administered to a client experiencing anaphylaxis?
epinephrine
The adrenergic branch of the nervous system controls many functions in the body. The nurse knows that which body functions are controlled by the adrenergic branch? (Select all that apply.)
heart rate; respiratory rate; muscle blood flow
Ephedrine and ephedra-containing herbal preparations are often abused as an alternative to amphetamines. What substances are identified as herbal preparations? (Select all that apply.)
herbal ecstasy, mu huang
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
A nurse in the intensive care unit is caring for a client in shock and has started IV administration of dopamine (Intropin). For a client in shock, dopamine helps to:
increase blood pressure
Adrenergic drugs produce which effect?
increased heart rate
Which is an effect of epinephrine?
increased heart rate
Epinephrine is contraindicated in clients with which diseases or disorders?
narrow-angle (or closed-angle) glaucoma
After reviewing the routes of administration for beta-specific adrenergic agonists, a group of students demonstrate the need for additional study when they identify isoproterenol as being administered by which route?
oral
The intravenous line of a client receiving dobutamine infiltrates and the drug extravasates. The nurse would infiltrate the site with:
phentolamine
A client is taking an OTC allergy product. The nurse would expect to find that this product most likely contains:
phenylephrine
Which agent would the nurse expect to find when reviewing over-the-counter allergy products?
phenylephrine
The nurse is reviewing the history of a client receiving isoproterenol. Which would the nurse identify as being a contraindication?
pulmonary hypertension
A nurse is monitoring the vital signs of a patient who has been administered epinephrine. Which of the readings should nurse report immediately to the primary health care provider?
systolic blood pressure below 100 mmHg
Phentolamine is the agent used to treat extravasation of dobutamine.
true
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
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
Which would the nurse expect to be given to a client experiencing acute bronchospasm?
epinephrine
An adrenergic drug would be prescribed to produce what physiological effect?
increased heart rate
The stimulation of beta1 adrenergic receptors in the heart by epinephrine would cause what result?
increased heart rate
Drugs that produce activity similar to the neurotransmitter norepinephrine are known as which of the following?
sympathomimetics
