Ch. 29, 30, 31, 32, 33
a client is prescribed propranolol for a diagnosis of essential tremors. what request made by the nurse while assessing the client demonstrates an understanding of the proper evaluation of this medication therapy?
"please pick up that glass and bring it to your mouth?"
A client is experiencing urinary retention. The client has been prescribed terazosin (Hytrin). What condition contributes to the urinary retention?
Benign prostatic hypertrophy
A client with motion sickness is prescribed transdermal scopolamine. The nurse would instruct the client to apply the patch at which frequency?
Every 72 hours
The nurse would contact the health care provider before administering an adrenergic drug to a client who is also taking which drug?
MAO inhibitor
T/F, the following patient statement indicates to the nurse that the patient is experiencing an adverse effect of hyoscyamine: "I fell like my heart is going to jump out of my chest."
True
A 4 yr. old has been prescribed an anticholinergic medication. The nurse should instruct the parents to monitor and report changes in what basic function?
Urinary output
A nurse should monitor a client taking donepezil (Aricept) for which adverse effects? (Select all that apply.) a. anorexia b. dizziness c. headache d. constipation e. bradycardia
a. anorexia b. dizziness c. headache
The nurse is assessing a client in the ER who has taken an overdose of phenylephrine. what symptoms should the nurse be alert for in this client? select all that apply. a. dizziness b. headache c. polyuria d. pulmonary edema e. seizures
a. dizziness b. headache e. seizures
A nurse has administered a drug that will have a therapeutic effect on the client's parasympathetic nervous system. The nurse understands the drug will primarily affect what neurotransmitter?
acetylcholine
A client has recently been prescribed a drug that treat hypertension by blocking the sympathetic receptors in the sympathetic nervous system. This action is a characteristic of which?
an adrenergic antagonist
A patient is receiving sotalol. Which instruction would be most important for the nurse to provide the patient to ensure maximum effectiveness of the drug?
be sure to take the drug on an empty stomach
a nurse is reviewing the medication history of several clients. one of the clients is receiving a direct-acting cholinergic drug. the nurse would identify which drug?
bethanechol
The home health nurse is caring for a 77 yr. old male patient who has just been discharged from the hospital. The patient is taking dobutamine for CHF. What would be most important to monitor in this patient?
compliance with drug regimen
The nurse is educating a client who has been prescribed atropine, an anticholinergic drug. Which instructions should the nurse provide to the client?
do not drive or operate machinery
the nurse is preparing a teaching plan for a client who is taking rivastigmine. what precaution should the nurse teach the client and family to minimize the risk of adverse GI effects?
having small, frequent meals
a nurse in the intensive care unit is caring for a client in shock and has started IV administration of dopamine. For a client in shock, dopamine helps to:
increase blood pressure
An adrenergic drug would be prescribed to produce what physiological effect?
increased heart rate
The nurse notes that a client is prescribed midodrine. Which action should the nurse take before giving the client this medication?
measure orthostatic blood pressure
the nurse is preparing a teaching plan for a patient who is to receive a nonselective beta blocker. the nurse would make sure to address safety measures as a priority for the patient receiving:
propranolol
the client is ordered bethanechol subcutaneously. after giving the client the injection of bethanechol, the nurse should make sure what is available?
urinal, bed pan, and call light