Chapter 30 PrepU
A client is being treated for asthma. What would the nurse expect to administer?
Beta-2-specific adrenergic agonist
A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic agonist would be to:
assess heart rate.
A nurse in the intensive care unit is caring for a patient in shock and has started IV administration of dopamine (Intropin). For a patient in shock, dopamine helps to:
increase blood pressure.
Which condition is treated with an adrenergic agonist?
Anaphylaxis
The nurse is teaching a patient about safe use of adrenergic drugs. Which statement should be included in the teaching?
"Talk to your doctor before taking any other medications."
Which would a nurse expect as a possible adverse effect when administering a beta-specific adrenergic agonist? (Select all that apply.)
-Headache -Restlessness
The nurse is aware that epinephrine may be administered in what ways? (Select all that apply.)
-Inhalation -IV -Topical
Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?
A 47-year-old female with hypertension
Which patient is most likely to benefit from the administration of an adrenergic agonist?
A man who is in cardiogenic shock following a myocardial infarction
A patient receives a beta-specific agonist. Which would lead the nurse to determine that the drug is effective?
Bronchodilation
A patient has been administered dobutamine HCL. Which adverse reactions should the nurse monitor for in the patient?
Cardiac arrhythmias
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 nurse is caring for a male client who is being given an adrenergic drug for shock. Which action should the nurse do?
Continually assess the client for physiological changes and notify the primary care provider with relevant changes.
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 would the nurse identify as a naturally occurring catecholamine?
Dopamine
What would the nurse expect to assess in a client receiving an alpha- and beta-adrenergic agonist?
Dyspnea
Which herbs has been removed from most weight-loss medications due to potential legal liability?
Ephedra
A patient suffers from bronchial asthma. Which medication will be administered?
Epinephrine
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?
Epinephrine
Which would the nurse expect to be given to a patient experiencing acute bronchospasm?
Epinephrine
An increased dosage of digoxin would be needed if the patient is also taking midodrine.
False
The nurse is reviewing the history of a patient who is to receive midodrine. Which would alert the nurse to a contraindication for the drug?
Glaucoma
A male client is prescribed an adrenergic ophthalmic medication. What should the nurse include in the teaching plan?
Hypertension may be a side effect of the medication.
Adrenergic drugs produce which effect?
Increased heart rate
Stimulation of beta1 adrenergic receptors in the heart results in:
Increased heart rate
Which is an effect of epinephrine?
Increased heart rate
A patient is administered epinephrine in conjunction with a local anesthetic. What effect will epinephrine produce?
Increased vasoconstrictive effects
The nurse would contact the physician before administering an adrenergic drug to a client who is also taking which drug?
MAO inhibitor
The adrenergic branch of the autonomic nervous system is also known by which name?
Sympathetic nervous system
A nurse is monitoring the vital signs of a patient who has been administered epinephrine. Which of the readings should nurse report immediately to the primary health care provider?
Systolic blood pressure below 100 mm Hg
Patients who are receiving alpha-specific adrenergic agents should not stop taking the drug abruptly.
True
Phentolamine is the agent used to treat extravasation of dobutamine.
True
A client has an IV of dopamine administered in the right arm. The IV becomes dislodged from the vein and dopamine has been being given in the surrounding tissue instead of the vein. The nurse should stop the IV and:
administer phentolamine (an alpha adrenergic blocking drug) to the site to minimize necrosis.
Epinephrine causes relaxation of:
bronchioles.
Drugs that produce activity similar to the neurotransmitter norepinephrine are known as:
sympathomimetics.
Which adrenergic receptor is responsible for the vasoconstriction of peripheral blood vessels?
α1 receptors
Which adrenergic receptor is responsible for increased heart rate and increased force of myocardial contraction?
β1 receptors
What would a nurse expect to administer if a client who is receiving isoproterenol develops a severe reaction?
Beta-adrenergic blockers