Module 3 Chapter 29
A client is experiencing anaphylaxis. What drug will the nurse most likely administer? a. Epinephrine b. Norepinephrine c. Acetylcysteine
a
A client is prescribed phenylephrine intravenously to treat paroxysmal atrial tachycardia. What effect is the medication producing? a. Reflex bradycardia b. Compensated shock c. Inotropic effect d. Chronotropic effect
a
Norepinephrine has been prescribed for an older adult client for the treatment of shock. The nurse should carefully monitor the client due to the increased risk of which side effect? a. Exacerbation of chronic cardiovascular conditions b. Cerebral ischemia c. Increased intracranial pressure d. Stevens-Johnson syndrome
a
A client is receiving IV norepinephrine for the treatment of shock. What is the goal of administration? a. Increased heart rate b. Increased blood pressure c. Increased cardiac output d. Increased cardiac contractibility
b
The nurse is administering norepinephrine intravenous (IV) to an adult client diagnosed with septic shock. The client suddenly develops redness and edema at the right forearm IV site. The client's systolic blood pressure (SBP) is 88 mm Hg. Which action would the nurse implement first? a. Increase infusion and reassess SBP in 2 minutes. b. Stop the infusion and administer diluted phentolamine. c. Assess urine output, and report to prescriber if less than 30 mL/h. d. Establish a new IV site with at least 20-gauge needle.
b
The nurse is caring for a client who has been prescribed a vasopressor, norepinephrine. The nurse should monitor for which therapeutic effect? Select all that apply. a. Mean arterial pressure at least 60 mm Hg b. Alert and oriented c. Urine output greater than 30 mL/h d. White blood cells 11,000 L e. Temperature 98°F (36.6°C)
b, c, e
A client has been diagnosed with narrow-angle glaucoma. What ocular effect will be produced if the client is prescribed an adrenergic agent? a. Hypothyroidism b. Decreased heart rate c. Mydriasis d. Hypertension
c
A client is administered epinephrine in conjunction with a local anesthetic. What effect will epinephrine produce? a. Decreased cerebral circulation b. Decreased coronary circulation c. Increased vasoconstrictive effects d. Increased bronchoconstriction
c
A client is admitted to the intensive care unit after surgery from a gunshot wound. The client's family is very concerned and asks the nurse why dobutamine is being administered. What is the nurse's best response? a. "We are giving this drug to increase blood pressure and heart rate." b. "The medication will improve and stabilize your family member's condition." c. "The medication will increase the force of the heart contraction and increase blood pressure." d. "The medication will increase heart rate and decrease blood pressure."
c
A client suffers a cardiac arrest. Which medication will be administered in a bolus? a. Dopamine b. Dobutamine c. Metaraminol d. Epinephrine
d
