ANS - Pharm

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

phennylephrine

A patient is suffering from a heart rate of 42 beats per minute. Which system contributes to bradycardia?

parasympathetic nervous system

which adrenergic receptor is found on cardiac tissue ?

beta 1

A client with chronic obstructive pulmonary disease (COPD) is experiencing bronchoconstriction. When choosing interventions to address this problem, the nurse should aim to influence the client's autonomic nervous system by stimulating:

beta 2

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

beta 2

Which would occur if a drug stimulated beta-2 receptors?

beta 2

which adrenergic receptor is found on blood vessels and the bronchi ?

beta 2

A client with asthma is prescribed albuterol to dilate the bronchioles. The nurse understands that this drug is likely acting on which receptors?

beta 2 agonists

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 adrengeric blockers

Which nursing diagnosis is related to myasthenia gravis diagnosis?

diarrhea

Which would the nurse identify as a naturally occurring catecholamine?

dopamine

A patient suffers from bronchial asthma. Which medication is a mixed-acting adrenergic drug?

ephendrine

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?

epiephrine

in the case of an allergic reaction use..

epinephrine

Which is NOT a function of the body's homeostatic control systems?

feed cells under stress

Which symptom should the nurse monitor for when caring for a client whose sinus bradycardia has been treated with large doses of atropine?

flushing

Axons from the CNS neurons end in which structure?

ganglia

The nurse should observe clients receiving a cholinergic blocking drug during the hot summer months because these clients are at increased risk of which adverse effect?

heat prostration

Norepinephrine is the main neurotransmitter in the sympathetic nervous system. Which enzyme metabolizes norepinephrine?

MAO

A patient is using his incentive spirometer during the postoperative period. The skeletal muscles during the use of the incentive spirometer are stimulated by which neurotransmitter?

acetylcholine

Nerve fibers secreting norepinephrine are called:

adrenergic fibers

The anatomy and physiology instructor is discussing adrenergic receptors with the nursing class. What adrenergic receptor would the instructor tell the students is found in the blood vessels, iris, and urinary bladder?

alpha 1

which adrenergic receptors is found on blood vessels, the iris, and urinary bladder ?

alpha 1

The nurse is assessing a client who has urinary hesitation and occasional overflow incontinence. What adrenergic receptors may be overstimulated in this client?

alpha 1 receptors

which adrenergic receptor is found on nerve membranes ?

alpha 2

A nurse should monitor a client taking donepezil (Aricept) for which adverse effects?

anorexia, headache, dizziness

A patient has a history of smoking. Which agent would the nurse most likely expect to be ordered?

atenolol

Which effect results from activation of beta2 receptors?

bronchodilation

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

A client has been receiving bethanechol for 1 week. One hour after the dose is administered, the client develops sweating, flushing, abdominal cramps, and nausea. What is the rationale for the development of these symptoms?

cholinergic overdose

Which is secreted during the fight-or-flight response to suppress the immune and inflammatory reactions?

corticosteroid

A client has been prescribed a beta blocker. The nurse knows that beta blockers can have which effect on the heart?

decrease HR

The nurse is caring for a client who is known to have deficient levels of dopamine because of a dietary lack of tyrosine. The nurse should expect to assess for evidence of:

decreased adrenergic response

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

Alpha-1 receptors have which actions?

increase blood pressure

A client is administered epinephrine in conjunction with a local anesthetic. What effect will epinephrine produce?

increase vasoconstrictive effects

The stimulation of beta1 adrenergic receptors in the heart by epinephrine would cause what result?

increased HR

Which would be assessed with parasympathetic nervous system stimulation?

increased gastric motility

Which is an effect of epinephrine?

increased heart rate

A patient has been diagnosed with benign prostatic hypertrophy and has been prescribed prazosin (Minipress) to assist in the treatment of the symptoms. How does this alpha1-blocking agent decrease urinary retention?

inhibits urinary bladder contraction

What teaching point should the nurse convey when providing medication education on donepezil?

it is important to take this medication at bedtime

A client has been prescribed an anticholinergic medication. What instructions should the nurse provide related to safety when outside in hot weather?

keep well hydrated

A client who adheres strictly to a vegan diet has reported varied signs and symptoms in recent months and has eventually been diagnosed with a tyrosine deficiency. When assessing this client, the nurse should expect to identify evidence of:

low norepinephrine levels

Adrenergic nerves use tyrosine from the diet to make which neurotransmitters?

norepinephrine

A client is prescribed donepezil. The nurse would expect to administer this drug at which frequency?

once a day

A client is prescribed propantheline. The nurse would administer this drug by which route?

oral

A nursing student is preparing a care plan and is choosing a nursing diagnosis for her client with Alzheimer's disease. The client is taking Exelon. Which would be an appropriate nursing diagnosis for this client?

risk for injury related to dizziness and fatigue

After teaching a group of students about beta-1 selective blockers, the instructor determines that the teaching was successful when the students identify what as a contraindication to using this group of drugs?

sinus bradycardia

The main nerve centers for the autonomic nervous system (ANS) are located in which locations?

spinal cord, medulla, hypothalamus

The nurse assessed a client at 0800 and obtained a blood pressure of 111/70 mmHg. Two hours later, the client's blood pressure is 130/81 mmHg. The nurse should attribute this change to what action within the autonomic nervous system?

stimulation of beta receptors

Which would occur if a drug stimulated beta-2 receptors?

vasodilation

What is the defining criterion of an adrenergic nerve?

the nerve can produce epinephrine

Minipress does what ?

treats high blood pressure

The physiology instructor explains to the nursing students that beta-2 stimulation leads to:

vasodilation of the blood vessels