Unit Five Test
The nurse receives an order to administer glycopyrrolate 0.002 mg/kg to the pediatric patient preoperatively. The patient weighs 14 lbs. If 1 pound = 2.2 kg, how many kilograms would the nurse administer to this patient?
0.013 mg
The nurse is teaching a class about the autonomic nervous system for critical care nurses. What statements, if made by the nurse during the class, are accurate? (Select all that apply.)
1. Adrenergic receptors respond to norepinephrine 2. Adrenergic receptors are part of the sympathetic nervous system 3. Cholinergic receptors are part of the parasympathetic nervous system 4. Cholinergic and aderenergic receptors are part of the autonomic nervous system
What does parasympathetic nervous system blockade cause? (Select all that apply.)
1. Decrease in urinary bladder tone 2. Increase heart rate 3. Decrease in GI activity
When studying for a pharmacology exam, a student asks her peers which agents affect both alpha- and beta-receptor sites. What would be an appropriate response to this student? (Select all that apply.)
1. Dobutamine (Dobutrex) 2. Epinephrine (Adrenalin, Sus-Phrine) 3. Dopamine (Intropin)
The nurse administers a medication that stimulates the parasympathetic nervous system (PNS). What manifestations would indicate the medication is working? (Select all that apply.)
1. Hyperactive bowel sounds 2. Increased saliva production 3. Constricted pupils
A new patient has come to the clinic. The patient tells the nurse he or she takes donepezil (Aricept). What is the priority nursing assessment related to the medication? (Select all that apply.
1. Nutritional status 2. Blood pressure 3. History of incontinence
The home care nurse is caring for a patient newly prescribed a nonselective beta-blocking agent. What would the nurse include in the teaching plan related to this drug? (Select all that apply.)
1. Take with meals 2. Change position slowly 3. Avoid driving or operating hazardous machinery
A 4-year-old girl is prescribed an albuterol (Proventil) inhaler for her asthma. What is the recommended safe dosage for this patient?
1.25 to 2.5 mg b.i.d
Bisoprolol (Zebeta) would be the drug of choice for which patient with a diagnosis of hypertension?
A 69-year-old patient
The nurse administers a drug to treat hypertension that causes vasodilation of blood vessels. What is the drug stimulating?
Beta1-receptors
The 10-year-old child is brought to the respiratory clinic and is prescribed ipratropium (Atrovent). Prior to administering the medication, what would the nurse assess for?
Breath sounds
What is the nurse's rationale for administering clonidine to treat hypertension?
Clonidine stimulates alpha2-receptors
A nurse receives an order for clonidine (Catapres) for a 25-year-old pregnant woman. What is the nurse's priority action?
Consult with the physician about the order
The nurse is caring for a 55-year-old patient receiving metoprolol (Lopressor). What statement by the patient would lead the nurse to believe that he needs additional instruction?
I can take OTC cold medication while on metoprolol
An Alzheimer's patient taking donepezil (Aricept) has a complete blood count that indicates he or she is anemic. What drug taken in combination with donepezil could be the cause of the anemia?
Ibuprofen (Advil)
When the nurse administers a cholinergic agonist to the patient, the nurse's expectation is that what system will be stimulated?
Parasympathetic nervous system
A nurse is providing discharge instructions to a patient who is taking atenolol (Tenormin) to treat hypertension. What would the nurse teach the patient regarding a possible drug-drug interaction?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Anticholinergic drugs are used in ophthalmology because they produce what effect?
Pupil dilation
The nurse administers a drug that stimulates beta2 receptors. What type of health condition would this drug treat?
Respiratory disease
The sympathetic nervous system (SNS) is associated with a "fight-or-flight" reaction. What reaction is the parasympathetic nervous system is associated?
Rest and Digest
The nurse is caring for a patient receiving carbachol to treat glaucoma. The patient says he or she has stopped driving at night because he or she just does not see well in the dark. What is the best nursing diagnosis for this patient?
Risk for injury related to visual changes
How does ephedrine act on the body?
Stimulates the release of norepinephrine
A 27-year-old male patient is taking an anticholinergic drug as adjunctive therapy to treat his peptic ulcer disease. The patient comes to the clinic and tells the nurse that he "feels his heart beating." What adverse effect is the patient experiencing from the anticholinergic medication?
Tachycardia
What assessment finding indicates to the nurse that timolol (Timoptic) has been effective?
The patients intraocular pressure us reduced
The nurse administers bethanechol (Duvoid, Urecholine) to treat what condition?
Urinary retention