Pharm restudy
A CLIENT WITH A CARDIAC PROBLEM IS TREATED WITH BETA-ADRENERGIC BLOCKING DRUGS. WHICH REACTION SHOULD THE NURSE POINT OUT AS A GENERALIZED REACTION THAT IMPACTS THE BODY WHEN A BETA-ADRENERGIC BLOCKING DRUG IS GIVEN TO THE CLIENT?
vertigo
A nurse is preparing to administer an adrenergic agent for shock. Which nursing assessment should be completed quickly and accurately?
vital signs
A CLIENT IS RECEIVING ALENDRONATE FOR OSTEOPOROSIS. THE CLIENT HAS INFORMED THE NURSE THAT THEY HAVE ALSO BEEN TAKING ASPIRIN. WHICH INTERACTION SHOULD THE NURSE MONITOR FOR IN THIS CLIENT?
Increase risk of GI bleeding
After teaching a group of nursing students about adrenergic drugs and their effects, the instructor determines that the teaching was successful when the students correctly choose which as an effect of these drugs?
Increased cardiac output
A nursing instructor has led a discussion on the effects of adrenergic drugs on the body. The instructor determines the session is successful when the students correctly choose which as the effect of beta-1 receptor stimulation?
Increased force of myocardial contractions
THE NURSE IS ADMINISTERING A BISPHOSPHONATE TO A CLIENT WITH PAGET DISEASE. WHICH FINDING ON ASSESSMENT SHOULD THE NURSE PRIORITIZE?
SERUM CALCIUM LEVELS
A NURSE IS CARING FOR A CLIENT WHO HAS BEEN PRESCRIBED PROPRANOLOL FOR ANGINA. AFTER ADMINISTERING THE DRUG, WHICH ACTION WOULD THE NURSE DO?
ask about relief of symptoms and record responses on the chart
A NURSE IS PREPARING TO ADMINISTER A TRANSDERMAL ADRENERGIC BLOCKER. WHICH MEDICATION WOULD THE NURSE BE PREPARING TO ADMINISTER?
clonidine
THE NURSE PROVIDES CLIENT TEACHING FOR A CLIENT DIAGNOSED WITH RHEUMATOID ARTHRITIS (RA) ABOUT THE PRESCRIBED METHOTREXATE. WHICH CLIENT STATEMENTS DETERMINES THE NEED FOR FURTHER TEACHING?
"I WILL HAVE LABS TO MONITOR FOR POSSIBLE BAD EFFECTS OF METHOTREXATE DRAWN EVERY 6 MONTHS."
A nurse is caring for a client who has been receiving an adrenergic medication. Which statement by the client alerts the nurse about an adverse effect of the medication and a reason to call the prescriber?
"I feel a "fluttering" feeling in my heart."
A nurse is teaching a client how to use an auto-injector as treatment for an allergic reaction. The nurse determines additional teaching is necessary when the client makes which statement?
"I should administer the dose and then call 9-1-1 if I'm alone."
A CLIENT IS ASKING HOW ALPHA ADRENERGIC BLOCKING MEDICATIONS WORK. WHICH IS THE NURSE'S BEST RESPONSE?
"They relax the smooth muscle of blood vessels by vasodilatation."
A NURSE IS TEACHING A CLIENT WITH GOUT THE IMPORTANCE OF GETTING ADEQUATE FLUIDS. THE NURSE DETERMINES THE SESSION IS SUCCESSFUL WHEN THE CLIENT CORRECTLY PLANS TO DRINK AT LEAST HOW MUCH FLUID EACH DAY?
3000 ml
A CLIENT WITH HYPERTENSION IS PRESCRIBED CLONIDINE. THE NURSE SHOULD QUESTION THIS ORDER IF WHICH DISORDER IS NOTED IN THE CLIENT'S HISTORY?
ACTIVE HEPATIC DISEASE
THE NURSING INSTRUCTOR IS TEACHING A GROUP OF STUDENTS ABOUT DRUGS USED FOR MUSCLE SPASMS AND CRAMPING. THE INSTRUCTOR DETERMINES THE SESSION IS SUCCESSFUL WHEN THE STUDENTS CORRECTLY CHOOSE WHICH INSTRUCTION AS RELEVANT TO SKELETAL MUSCLE RELAXANTS?
AVOID ALCOHOL OR OTHER CNS DEPRESSANTS.
A client is prescribed dopamine. Which point would the nurse include in the client's plan of care?
Administering dopamine only via iv route
The nursing instructor is preparing to teach a class discussing the various classes of drugs which are used to block or inhibit the sympathetic nervous system. Which classes of drugs will the instructor point out to the students? Select all that apply
Adrenergic blocking drugs, Adrenergic stimulating drugs & Sympatholytics
A nurse is preparing to administer dobutamine to a client who is also receiving a beta-adrenergic blocking agent. Which assessment finding will the nurse prioritize after administering both drugs?
Hypertension
AFTER TEACHING A GROUP OF NURSING STUDENTS ABOUT THE VARIOUS DRUGS USED TO TREAT MUSCULOSKELETAL CONDITIONS, THE INSTRUCTOR DETERMINES THAT THE TEACHING WAS SUCCESSFUL WHEN THE STUDENTS CORRECTLY CHOOSE WHICH DRUG AS BEING USED TO TREAT OSTEOPOROSIS?
BONE RESORPTION INHIBITORS
A CLIENT WITH URINARY RETENTION IS PRESCRIBED BETHANECHOL. THE NURSE WILL ADMINISTER THIS CAUTIOUSLY IF WHICH DISORDER IS NOTED IN THE CLIENT'S MEDICAL RECORD?
Bradycardia
A CLIENT WITH MYASTHENIA GRAVIS WHO IS PRESCRIBED PYRIDOSTIGMINE COMES TO THE EMERGENCY DEPARTMENT REPORTING ABDOMINAL CRAMPING, EXCESSIVE DIARRHEA, AND SEVERE MUSCLE WEAKNESS. THE NURSE WOULD SUSPECT WHICH SITUATION IS OCCURRING?
CHOLINERGIC CRISIS
A CLIENT HAS BEEN PRESCRIBED PYRIDOSTIGMINE FOR MYASTHENIA GRAVIS. THE NURSE WOULD BE ALERT FOR THE DEVELOPMENT OF WHICH ADVERSE REACTION FOLLOWING THE ADMINISTRATION?
Cardiac Arrhythmias
A nurse is monitoring a client receiving IV dobutamine. Which assessment finding should the nurse prioritize?
Cardiac Arrhythmias
A client presents to the emergency department following a traffic accident. The nurse prepares to administer an adrenergic agent after assessing for signs of shock which includes which finding?
Changes in consciousness
A NURSE IS CONDUCTING A TEACHING SESSION WITH A CLIENT WHO IS PRESCRIBED SCOPOLAMINE DURING THE SUMMER. THE NURSE DETERMINES THE SESSION IS SUCCESSFUL WHEN THE CLIENT CORRECTLY CHOOSES WHICH SIGN TO REPORT IMMEDIATELY TO THE HEALTH CARE PROVIDER WHICH MAY INDICATE THE CLIENT IS EXPERIENCING HEAT PROSTRATION?
Fever
A nursing instructor has finished teaching a group of nursing students the basic functions of the autonomic nervous system (ANS). The instructor determines the teaching is successful when the students correctly choose which functions as controlled by the ANS? Select all that apply.
Heart rate, Blood pressure, Glandular secretions & GI activity
A CLIENT IS EXPERIENCING PHOTOPHOBIA SECONDARY TO THE ADMINISTRATION OF A CHOLINERGIC BLOCKING DRUG. WHICH ACTION WOULD BE MOST APPROPRIATE?
Limiting the use of overhead lights
A NURSING INSTRUCTOR IS CONDUCTING A TEACHING SESSION ABOUT THE PARASYMPATHETIC NERVOUS SYSTEM. THE INSTRUCTOR DETERMINES THE SESSION IS SUCCESSFUL WHEN THE STUDENTS CORRECTLY CHOOSE WHICH RECEPTORS ARE INVOLVED WITH STIMULATING SMOOTH MUSCLES?
Muscarinic
An older client with acute sinusitis is administered epinephrine emergently. The nurse should prioritize reporting a change in which assessment finding to the health care provider?
Pulse rate
A NURSE IS CARING FOR A CLIENT WHO IS RECEIVING CYCLOBENZAPRINE. THE NURSE WOULD EXPECT TO ASSESS WHICH FINDING AS INDICATING THE THERAPEUTIC EFFECT OF THE DRUG?
REDUCTION OF MUSCLE SPASM
THE NURSE IS TEACHING A CLIENT ABOUT THE MEDICATION THEY ARE RECEIVING AS TREATMENT FOR GOUT. THE NURSE DETERMINES THE SESSION IS SUCCESSFUL WHEN THE CLIENT CORRECTLY CHOOSES WHICH INSTRUCTION AS MOST IMPORTANT?
REPORTING ANY SKIN RASH
A client presents to the emergency department with reports of itching and throat tightness. On assessment, the nurse notes urticaria and flushing. Which nursing diagnosis will the nurse determine is most appropriate for this client?
Risk for Allergy Response
A nurse is monitoring the vital signs of a client who has received epinephrine. The nurse would report which assessment findings?
Systolic blood pressure below 100 mm hg
The nurse is preparing to teach a client with intractable orthostatic hypotension about the midodrine which has been prescribed. Which instruction will the nurse prioritize in the teaching?
Take midodrine during the day while awake.
PRIOR TO ADMINISTRATION OF ADRENERGIC BLOCKING DRUG FOR HYPERTENSION, WHICH SHOULD THE NURSE ASSESS FIRST?
blood pressure
THE NURSE IS PREPARING TO ADMINISTER COLCHICINE TO A CLIENT WHO IS IN THE INITIAL PHASE OF GOUT. WHICH DISORDER WILL THE NURSE BE PREPARED TO MONITOR THE CLIENT FOR?
bone marrow depression
A CLIENT WITH A MUSCULOSKELETAL DISORDER IS UNABLE TO AMBULATE DUE TO SIGNIFICANT PAIN AND IMMOBILITY ISSUES. WHICH CARE SHOULD THE NURSE PRIORITIZE FOR THIS CLIENT?
change patient position every two hours
A CLIENT WAS EMERGENTLY ADMINISTERED BETHANECHOL. WHICH FINDING ON ONGOING ASSESSMENT SHOULD THE NURSE PRIORITIZE AND NOTIFY THE HEALTH CARE PROVIDER IMMEDIATELY?
failure to void
