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A nurse would instruct a patient to apply a clonidine patch at which frequency?
Every 7 days
A patient is receiving sotalol. Which instruction would be most important for the nurse to provide to the patient to ensure maximum effectiveness of the drug?
"Be sure to take the drug on an empty stomach."
Which patient statement indicates to the nurse that the patient is experiencing an adverse effect of hyoscyamine?
"I feel like my heart is going to jump out of my chest."
When administering sotalol to a patient, which would be most appropriate?
Administer the drug before meals.
Which receptor is found in the beta cells of the pancreas?
Alpha-2
A client is receiving a drug that helps to relax the bladder detrusor muscle. The nurse would understand that this drug is affecting which type of receptor?
Beta-2
Which agent would the nurse identify as being available in a transdermal form?
Clonidine
A client is experiencing shock and is extremely hypotensive. Which would the nurse expect to be the drug most likely to be given?
Dopamine
extrapyramidal reactions
Drug induced movement disorders (Beta Blocker and Benzodiazempines)
After teaching a patient who is prescribed a scopolamine patch, the nurse determines that the teaching was successful when the patient states that she will change the patch in which time frame?
Every 3 days
An 80-year-old male client who lives in a long-term care facility is prescribed anticholinergic medications by his physician. Recently, he has reported blurred vision. The nurse calls the physician regarding these symptoms. The nurse expects to add which intervention to this client's plan of care?
Falls prevention
A patient has been administered atropine for sinus bradycardia. Which symptom is noted with large doses of atropine?
Flushing
Axons from the CNS neurons end in which structure?
Ganglia
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
After reviewing the action of scopolamine what, if identified by the nurse, indicates understanding of the drug?
Has little or no effect at the neuromuscular junction
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.
A nurse administers bethanechol (Urecholine). What assessment finding is attributable to the effect of this medication?
Increased urinary output
Jack Thomas is a 45-year-old automobile mechanic with a history of throat cancer. Jack has just undergone radical neck resection. As a result of the surgery, Jack suffers from xerostomia, a dry mouth condition. He is prescribed pilocarpine therapy. What advice should you give Jack regarding the drug therapy?
Jack should be cautioned about blurred vision and its hazards
A home care nurse is visiting a patient to assess blood pressure and heart rate. The patient's grandson has a large amount of pseudoephedrine (Sudafed) in the kitchen. For what might the nurse suspect the patient's grandson is using the pseudoephedrine?
Methamphetamine production
A nurse is caring for a patient with arrhythmia. What nursing interventions should the nurse perform when a patient with life-threatening arrhythmia receives an adrenergic-blocking drug through IV?
Monitor blood pressure and respiratory rate
A nurse is conducting a medication resolution of a new resident of a care facility and notes that the woman has been taking neostigmine. The nurse should recognize that the woman may have a history of what health problem?
Myasthenia gravis
A nurse needs to be aware of pertinent drug interactions that can result in poor outcomes for the client. A nurse caring for a client taking acebutolol (Sectral) should be careful to avoid the administration of which drugs as they can decrease the effect of acebutolol (Sectral)? (Select all that apply.)
Naproxen (Naprosyn) Oxaprozin (Daypro) A decreased hypertensive effect occurs if these drugs are given with clonidine, NSAIDs, rifampin, or barbiturates.
The physician orders glycopyrrolate (Robinul) 1 mg and morphine sulfate 10 mg IM. What disease process would contraindicate the administration of glycopyrrolate
Narrow-angle glaucoma
The body uses tyrosine in the diet to make what substance?
Norepinephrine
A client is prescribed propantheline. The nurse would administer this drug by which route?
Oral
A patient is prescribed dicyclomine. The nurse would expect to administer this drug by which route?
Oral
A patient is suffering from a heart rate of 42 beats per minute. Which system contributes to bradycardia?
Parasympathetic nervous system
After teaching a group of students about the differences between the sympathetic nervous system and the parasympathetic nervous system, the instructor determines that the students have understood the information when they state:
The sympathetic nervous system preganglionic fibers are short, while those in the parasympathetic nervous system are long.
Most nonselective adrenergic blockers are used to treat hypertension.
True
