Adrenergic + shock (PREPU)
A nurse suspects that a client is experiencing shock based on which assessments? Select all that apply.
Cyanosis Disorientation Tachypnea
A patient receives phenylephrine intravenously. The nurse would expect the drug to last for how long?
15 to 20 minutes
Which herbs has been removed from most weight-loss medications due to potential legal liability?
Ephedra
A 50-year-old client is reporting that the client's oral B12 is not working. The nurse knows that the vitamin may have a decreased absorption rate when taken with other substances. The nurse would begin the history by asking which questions? (Select all that apply.)
"Do you use neomycin?" "Do you drink alcohol?" "Do you take colchicine?"
A client is receiving ferrous sulfate as treatment for iron deficiency anemia. After teaching the client, which statement indicates the need for additional teaching?
"I need to take an antacid with the pill to prevent an upset stomach."
What client would be most likely to benefit from treatment with filgrastim (Neupogen)?
A client who has recently undergone bone marrow transplant to treat leukemia
For which client would Procrit NOT be indicated?
A client with a hemoglobin of 12, with shortness of breath.
Interferons are substances naturally produced and released by human cells that have been invaded by viruses. Which are not examples of interferons? (Select all that apply.)
Aldesleukin (Proleukin)
A nurse educator is teaching nursing students about the administration colony-stimulating factors. Teaching is effective when the students identify the need to assess for which adverse reaction related to this drug?
Hypertension
A nurse is teaching a client about an iron supplement. Which should be included in the teaching a client about this medication?
It should be taken on an empty stomach.
A client is experiencing shock and is extremely hypotensive. Which would the nurse expect to be the drug most likely to be given?
dopamine
Which adverse effect might a client receiving clonidine exhibit? (Select all that apply.)
Photophobia Personality changes Difficulty urinating
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?
St. John's Wort
A client has been discharged from the hospital after a kidney transplant. Which nursing intervention is the first line of defense against the immunosuppressant client developing an infection?
Teach the client the importance of personal hygiene.
Which would the nurse identify as a naturally occurring catecholamine?
dopamine
Phentolamine is the agent used to treat extravasation of dobutamine.
True
What would a nurse expect to administer if a client who is receiving isoproterenol develops a severe reaction?
beta-adrenergic blockers
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 patient suffers from bronchial asthma. Which medication is a mixed-acting adrenergic drug?
ephedrine
The nurse is admitting a client with injuries following a bicycle crash. When reviewing the client's pre-admission medication regimen, the nurse reads that the client takes formoterol twice daily. When planning this client's care, the nurse should include:
frequent respiratory assessments.
Which medication is a synthetic catecholamine prescribed for the treatment of bradycardia?
isoproterenol
A client is to receive erlotinib. The nurse would expect to administer this drug by which route?
oral
A nurse is caring for a client following an organ transplant procedure. The client reports that oral cyclosporine tastes awful and that the client is unable to swallow it. The nurse tells the client that it is possible to make the medication more palatable by mixing it with:
orange juice
The intravenous line of a client receiving dobutamine infiltrates and the drug extravasates. The nurse would infiltrate the site with:
phentolamine.
After reviewing the major types of anemia, students demonstrate understanding of the information when they identify what as an example of a hemolytic anemia?
sickle cell anemia
All hematopoietic and immune blood cells are derived from which cells in the bone marrow?
stem cells
Mycophenolate mofetil is being considered in the treatment of a 39-year-old female transplant recipient. Before the initiation of therapy, the nurse must assess the client for what information to ensure safety?
the fact that the client is not pregnant
