pharm chapter 30 prepU

The clinic nurse is teaching a client about terbutaline. What would the nurse be sure to include in the teaching? Mark all that apply. y

Dosage Adverse effects What problems to report immediately

A client is experiencing anaphylaxis. What drug will the nurse most likely administer? Norepinephrine Epinephrine Dantrolene sodium Acetylcysteine

Epinephrine

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

15 to 20 minutes

Which client is most likely to benefit from the administration of an adrenergic agonist? 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 woman who is in labor and may require a cesarean section

A man who is in cardiogenic shock following a myocardial infarction

Which patient is most likely to benefit from the administration of an adrenergic agonist?

A man who is in cardiogenic shock following a myocardial infarction

A client is receiving dopamine intravenously in the right arm. The IV becomes dislodged from the vein, and dopamine has been being given in the surrounding tissue instead of the vein. What should the nurse do immediately after stopping the IV? Administer phentolamine to the site. Administer atenolol to the site. Wrap the site tightly with gauze. Put ice on the infusion site.

Administer phentolamine to the site.

A nurse may be asked to administer adrenergic drugs to clients with which conditions? (Select all that apply.) Severe hypertension Allergic reactions Cardiac arrest Hypovolemic shock Respiratory distress

Allergic reactions Cardiac arrest Hypovolemic shock Respiratory distress

Which receptor does phenylephrine stimulate? Beta1 Alpha2 Alpha1 Beta2

Alpha1

A client is being treated for asthma. What would the nurse expect to administer? Beta-2-specific adrenergic agonist Beta-1-specific adrenergic agonist Alpha-specific adrenergic agonist Alpha- and beta-adrenergic agonist

Beta-2-specific adrenergic agonist

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

Beta-adrenergic blockers

A patient has been administered dobutamine HCL. Which adverse reactions should the nurse monitor for in the patient? Elevated temperature Cardiac arrhythmias Urinary retention Sleeplessness

Cardiac arrhythmias

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 Monitoring of intracranial pressure Respiratory assessment Arterial blood gases

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 Changes in glucose level Changes in temperature Changes in appetite

Changes in pulse rate

The home health nurse is caring for a 77-year-old male patient who has just been discharged from the hospital. The patient is taking dobutamine for congestive heart failure. What would be most important to monitor in this patient? Effectiveness of comfort measures Availability of caregivers Dietary intake Compliance with drug regimen

Compliance with drug regimen

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? Prepare the family by telling them how sick their loved one is and that he may die. Continually assess the client for physiological changes and notify the primary care provider with changes. Observe the client closely for seizures, hypothermia, and dementia; if seen, stop the infusion immediately. 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

Adrenergic medications such as epinephrine and dopamine are commonly used for in the treatment of clients in which treatment settings? Select all that apply. Dentist's office Intensive care unit Emergency department Physical therapy center OB-GYN office

Dentist's office intensive care unit Emergency department

While educating a client on the use of midodrine the nurse should tell the client to report which changes? (Select all that apply.) Fine tremor Constipation Difficulty urinating Vision changes Bradycardia

Difficulty urinating Vision changes Bradycardia

A client is experiencing anaphylaxis. What drug will the nurse most likely administer? Dantrolene sodium Epinephrine Norepinephrine Acetylcysteine

Epinephrine

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

False

A male client is prescribed an adrenergic ophthalmic medication. What should the nurse include in the teaching plan? Side effects are limited to inflammation of the conjunctiva. The drug is only absorbed locally. Hypertension may be a side effect of the medication. Allergic and adverse reactions are rare.

Hypertension may be a side effect of the medication.

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

Increased heart rate

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

Increased heart rate

A client is administered epinephrine in conjunction with a local anesthetic. What effect will epinephrine produce? Increased vasoconstrictive effects Decreased coronary circulation Increased bronchoconstriction Decreased cerebral circulation

Increased vasoconstrictive effects

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? Treatment of sinusitis Methamphetamine production Treatment of bronchial asthma To increase appetite

Methamphetamine production

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

Narrow-angle (or closed-angle) glaucoma

Epinephrine can be administered by multiple routes. Which is not an appropriate route? Intramuscular Subcutaneous Oral Intravenous

Oral

When applied topically to the eye, which drug produces dilation of the pupil without changing accommodation? Neostigmine Atropine Phenylephrine Phentolamine

Phenylephrine

Which agent would the nurse expect to find when reviewing over-the-counter allergy products? Dopamine Phenylephrine Clonidine Midodrine

Phenylephrine

The nurse is assessing a client in the emergency department who has taken an overdose of phenylephrine. What symptoms should the nurse be alert for in this client? (Select all that apply.) Pulmonary edema Polyuria Seizures Dizziness Headache

Seizures Dizziness Headache

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

Stimulates electrical and mechanical activity

The adrenergic branch of the autonomic nervous system is also known by which name?

Sympathetic nervous system

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

Sympathetic nervous system

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

Sympathomimetics

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? A diastolic blood pressure of 75 mm Hg Systolic blood pressure below 100 mm Hg Pulse rate of 60 beats per minute Temperatures reading of 97.6°F

Systolic blood pressure below 100 mm Hg

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." "Tell your health care provider if you are allergic to penicillin." "You can take cold medications while on this drug, but talk to your health care provider about other medications." "You shouldn't take cold remedies or appetite suppressants while on this drug, but you can take any other medication safely."

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

The nurse is aware that epinephrine may be administered in what ways? (Select all that apply.) Sublingual Inhalation PO Topical IV

Topical IV Inhalation

Prior to beginning therapy with an adrenergic agent, the nurse would expect to obtain what assessments? (Select all that apply.) Arterial blood gases Blood glucose Hearing screen Urinalysis Vital signs

Vital signs Urinalysis Blood glucose

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. monitor respiratory rate. check blood glucose level.

assess heart rate

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

assess heart rate.

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

beta 2

Epinephrine causes relaxation of:

bronchioles.

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: decrease blood pressure. increase body temperature. decrease heart rate. increase blood pressure.

increase blood temperature

Adrenergic drugs produce which effect? Decreased respiratory rate Decreased kidney perfusion Urinary retention Increased heart rate

increased heart rate

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

phentolamine.

A client is taking an OTC allergy product. The nurse would expect to find that this product most likely contains: phenylephrine. epinephrine. ephedra. albuterol.

phenylephrine.

Patients who are receiving alpha-specific adrenergic agents should not stop taking the drug abruptly. True False

true

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

true

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

Bronchodilation

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

Beta-adrenergic blockers

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

Cyanosis Tachypnea Disorientation

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

Epinephrine

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

MAO inhibitor

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

MAO inhibitor

Adrenergic drugs increase the potential risk for what adverse effect? cardiac arrhythmias stupor intestinal wall muscle spasm hypoglycemia

cardiac arrhythmias

Which client is most likely to benefit from the administration of an adrenergic agonist? 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 has a diagnosis of primary hypertension A woman who is in labor and may require a cesarean section

A man who is in cardiogenic shock following a myocardial infarction

The nurse is reviewing the medical record of a client who is taking an alpha- and beta adrenergic agonist. What would be of least concern to the nurse? Caffeine Over-the-counter (OTC) cold preparations St. John's wort Ma huang

St. John's wort

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? Phenylephrine Terbutaline Epinephrine Albuterol

epinephrine

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

every 7 days

A nurse is providing teaching to a client prescribed midodrine. Which nursing instruction is very important that the client understands? "Midodrine is taken for your glaucoma and should be put in your eyes upon waking in the morning." "Only take midodrine when standing. Taking it while lying down can cause very high blood pressure." "Midodrine is taken to lower your blood pressure, so you may feel a little light-headed after taking it." "Only take midodrine when you have eaten first. It can cause ulcers if taken on an empty stomach."

"Only take midodrine when standing. Taking it while lying down can cause very high blood

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? Leave the room so that the client can sleep and not risk sleep deprivation psychosis. Prepare the family by telling them how sick their loved one is and that he may die. 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.

Continually assess the client for physiological changes and notify the primary care provider with changes.

Which would the nurse identify as a naturally occurring catecholamine? Dobutamine Metaraminol Dopamine Ephedrine

Dopamine

Which would the nurse identify as a naturally occurring catecholamine? Metaraminol Dopamine Ephedrine Dobutamine

Dopamine

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

Ephedra

While learning about adrenergic prototype drugs, which prototype drug would the students learn has a duration of action of only 1-2 minutes? Phenylephrine Ephedrine Dopamine Isoproterenol

Isoproterenol

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 mm Hg Temperatures reading of 97.6°F A diastolic blood pressure of 75 mm Hg Pulse rate of 60 beats per minute

Systolic blood pressure below 100 mm Hg

An adrenergic drug would be prescribed to produce what physiological effect? increased heart rate decreased blood pH decreased respiratory rate urine concentration

increased heart rate

Adrenergic drugs mimic the effects of stimulating what part of the nervous system? parasympathetic central sympathetic autonomic

sympathetic

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

β2 receptors