Chapter 15 Evolve adaptive quizzing

The client demonstrates understanding of the effects of adrenergic blocking drugs that must be reported to the health care provider immediately when listing which effects? Select all that apply. A. Chest pain B. Heart rate 70 C. Insomnia D. Excessive agitation E. Palpitations

A. Chest pain C. Insomnia D. Excessive agitation E. Palpitations

During a cardiopulmonary resuscitation emergency, the nurse expects to administer which injectable, fast-acting medication? A. Epinephrine (adrenalin) B. Naphazoline (Privine) C. Oxymetazoline (Afrin) D. Salmeterol (Serevent)

A. Epinephrine (adrenalin)

The nurse should expect which assessment finding for a client taking a selective beta 1 receptor blocker? A. Pulse 62 B. Wheezing bilaterally C. Bounding radial pulse D. Irregular apical pulse

A. Pulse 62

Which drug is classified as an adrenergic antagonist? A. Propofol (Diprivan) B. Milrinone (Primacor) C. Epinephrine (Adrenaline) D. Propranolol (Inderal)

D. Propranolol (Inderal)

Which are safe routes of administration of epinephrine? Select all that apply. A. Oral B. Topical C. Inhalation D. Intracardiac E. Intravenous F. Subcutaneous

B. Topical C. Inhalation D. Intracardiac E. Intravenous F. Subcutaneous

The patient has been receiving dopamine in an intravenous infusion. The nurse notes that the health care provider has ordered phentolamine to be administered. What does the nurse recognize the patient is most likely experiencing? A. overdosage B. extravasation C. anaphylaxis D. toxicity

B. extravasation

The patient has been ordered two drugs of the same class to be used for treatment of asthma. The patient asks the nurse, "Why do I have to use more than one medication to treat this? Isn't one enough?" What is the nurse's most appropriate response? A. "You need to ask your health care provider questions like that." B."No, in this case, one drug is not enough to do what's needed for you." C. "Sometimes use of more than one drug will give a combined therapeutic effect." D. "I will arrange for the pharmacist to do a presentation for you."

C. "Sometimes use of more than one drug will give a combined therapeutic effect."

The nurse is caring for a patient who is undergoing treatment with an alpha-adrenergic drug. The nurse is monitoring daily laboratory test results on the patient. Because of the patient's treatment with the alpha-adrenergic drug, the nurse anticipates that the laboratory tests will show which result? A. Increased level of calcium B. Increased level of potassium Correct3 C. Increased level of glucose D. Increased level of magnesium

C. Increased level of glucose

The nurse is monitoring a patient's vital signs on each visit that the patient makes to a health clinic. The patient has started treatment with an adrenergic blocking drug. What is the nurse's highest priority? A. Count the patient's respiratory rate for one minute. B. Take the patient's temperature by both the oral and axillary routes. C. Measure both supine and standing blood pressures. D. Count the radial pulse for one full minute.

C. Measure both supine and standing blood pressures.

What is the most accurate outcome criteria for the nurse to use when determining if a patient is responding appropriately to use of an adrenergic drug? A. Patient is able to correctly state three side effects of the medication. B. Patient is alert to time, person, and place and makes coherent conversation. C. Patient's respiratory rate is 16 breaths/minute and blood pressure is 130/72 mm Hg. D. Patient awakens easily during nurse's morning rounds and states, "I feel fine."

C. Patient's respiratory rate is 16 breaths/minute and blood pressure is 130/72 mm Hg.

The nurse recognizes that the patient who is taking an adrenergic blocking drug understands the importance of avoiding other substances that may interact with the medication when the patient makes which statement? A. "I should limit my fluid intake while taking this medication." B."One glass of red wine with meals will not interfere with the medication." C."I should avoid drinking my morning coffee while taking this drug." D. "There's no need to stop eating chocolate while I'm on this medication."

C."I should avoid drinking my morning coffee while taking this drug."

In order to produce a sympathomimetic response, the nurse may administer which medication that is only available as a synthetic substance? A. Epinephrine B. Norepinephrine C. Dopamine D. Dobutamine

D. Dobutamine

Which outcome would be most appropriate to establish for patients taking beta1 agonists? A. Relaxation of uterine smooth muscle B. Relaxation of bronchial smooth muscle C. Increased resistance of peripheral vessels D. Increased contractility of myocardium

D. Increased contractility of myocardium

A client with a new prescription for propranolol (Inderal) tells the nurse he has a history of asthma. The nurse's priority action is to: A. teach the client how to take his blood pressure. B. tell the client to change positions slowly. C. inform the client to carry a rescue inhaler at all times. D. notify the client's health care provider.

D. notify the client's health care provider.

A patient diagnosed with asthma just completed an albuterol nebulizer treatment. The patient tells the nurse, "I feel like my heart is fluttering, and my hands are very shaky." What is the nurse's most appropriate action? A. Notify the health care provider. B.Hold the next albuterol treatment. C. Request a decreased dose of albuterol. D.Explain this sensation as a side effect

D.Explain this sensation as a side effect