Joshua Westerfield
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Chapter 15

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Joshua Westerfield
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Chapter 15 Autonomic Nervous System Drugs

Frage 1 von 19

1

The nurse will monitor the patient taking albuterol for which conditions? (Select all that apply)

Wähle eine der folgenden:

  • Palpitations

  • Hypertension

  • Hypoglycemia

  • Bronchospasm

  • Uterine Contractions

Erklärung

Frage 2 von 19

1

Nadolol is prescribed for a patient. The nurse realizes that this drug is a beta-adrenergic blocker and that this drug classification is contraindicated for patients with which condition?

Wähle eine der folgenden:

  • Hypothyroidism

  • Angina Pectoris

  • Bronchial Asthma

  • Liver Dysfunction

Erklärung

Frage 3 von 19

1

The nurse realizes that beta 1 receptor stimulation is differentiated from beta 2 stimulation in that stimulation of beta 1 receptors leads to which condition?

Wähle eine der folgenden:

  • Increased bronchodilation

  • Decreased uterine contractility

  • Increased myocardial contractility

  • Decreased blood flow to skeletal muscles

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Frage 4 von 19

1

A patient is given epinephrine, an adrenergic agonist (sympathomimetic). The nurse should monitor the patient for which condition?

Wähle eine der folgenden:

  • Decreased pulse

  • Pupil constriction

  • Bronchial constriction

  • Increased blood pressure

Erklärung

Frage 5 von 19

1

A patient who is taking epinephrine is also taking several other medications. The nurse should realize that there is a possible drug interaction with which drugs. (Select all that apply).

Wähle eine oder mehr der folgenden:

  • Albuterol

  • Metoprolol

  • Propanolol

  • Digoxin

  • Methyldopa

Erklärung

Frage 6 von 19

1

A patient is prescribed metoprolol to treat hypertension. It is important for the nurse to monitor the patient for which condition? (Select all that apply).

Wähle eine oder mehr der folgenden:

  • Bradycardia

  • Hypotension

  • Ankle Edema

  • Decreased respirations

  • Increased respirations

Erklärung

Frage 7 von 19

1

The nurse is administering atenolol to a patient. Which concurrent drugs does the nurse expect to most likely cause an interaction? (Select all that apply).

Wähle eine oder mehr der folgenden:

  • Ginseng supplement

  • an NSAID drug, such as aspirin

  • Atropine, an anticholinergic

  • Haloperidol

  • Methyldopa

Erklärung

Frage 8 von 19

1

A Patient with asthma asks the nurse how his albuterol inhaler will work to help him breathe better. What is the best response for the nurse to explain the action of the drug?

Wähle eine der folgenden:

  • "Albuterol will increase your heart rate so you will feel like you are able to breathe better."

  • "Albuterol causes bronchodilation in the lungs, improving function."

  • "Albuterol will cause an increase in urinary output to remove extra fluid from the lungs."

  • "Albuterol causes bronchial smooth muscle contraction that forces air into the lungs."

Erklärung

Frage 9 von 19

1

A Patient presents to the clinic with a swollen face and tongue, difficulty breathing, and audible wheezes after eating a peanut butter sandwich for lunch. What is the first action the nurse should take?

Wähle eine der folgenden:

  • Ensure a patent airway.

  • Obtain an ECG.

  • Administer 1mg of 1:100 epi SQ

  • Start an IV of Normal Saline.

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Frage 10 von 19

1

A patient calls the home health agency to tell the nurse she is having a reaction to her albuterol inhaler. She tells the nurse she is shaking and trembling. What is the first question the nurse should ask the patient?

Wähle eine der folgenden:

  • Are you having any other symptoms?

  • How long ago did this start?

  • When was the last time you used your inhaler?

  • How many puffs on the inhaler did you take?

Erklärung

Frage 11 von 19

1

Which drug(s) is/are classified as beta blockers? (Select all that apply)

Wähle eine oder mehr der folgenden:

  • Albuterol

  • Atenolol

  • Propanolol

  • Amphetamine

  • Acebutolol

Erklärung

Frage 12 von 19

1

The nurse discovers an IV has infiltrated on a patient receiving IV dopamine. The nurse prepares to administer _______________ as an antidote.

Wähle eine der folgenden:

  • dobutamine

  • epinephrine

  • phentolamine

  • reserpine

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Frage 13 von 19

1

When completing the patient health history, the nurse finds a history of narrow angle glaucoma. When performing the drug reconciliation, which drug would concern the nurse? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Psuedoephedrine

  • Midodrine

  • Albuterol

  • Carvedilol

Erklärung

Frage 14 von 19

1

Some over-the-counter medications for cold symptoms contain substances that have sympathetic properties. These drugs are contraindicated in patients with which disease process?

Wähle eine der folgenden:

  • Allergic rhinitis

  • Hypertension

  • Orthostatic Hypotension

  • Chronic Bronchitis

Erklärung

Frage 15 von 19

1

Which adrenergic drug used in emergency settings does not decrease renal function?

Wähle eine der folgenden:

  • Norepinephrine

  • Dopamine

  • Phenyleprine

  • Dobutamine

Erklärung

Frage 16 von 19

1

Where are beta 1 receptors located? (Select all that apply)

Wähle eine oder mehr der folgenden:

  • GI Tract

  • Lungs

  • Kidneys

  • Brain

  • Heart

Erklärung

Frage 17 von 19

1

A patient tells the nurse during the admitting history that he utilizes alternative and complementary therapies to help manage his medical conditions. Which drug would raise a concern in a patient taking St. John's Wort?

Wähle eine der folgenden:

  • Reserpine

  • Albuterol

  • Propanolol

  • Pseudoephedrine

Erklärung

Frage 18 von 19

1

The nurse has been floated to the cardiac telemetry unit and is preparing to give a new drug to the patient. The health care provider's order is for timolol 100mg BID. Which is the nurse's best action?

Wähle eine der folgenden:

  • Give the patient the drug after proper identification.

  • Hold the drug and contact the health care provider regarding the dosage.

  • Give the drug now, and request a new order during patient rounds.

  • Assess the patient's vital signs, and give the drug.

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Frage 19 von 19

1

What is a catecholamine?

Wähle eine der folgenden:

  • A substance that can produce a sympathomimetic response

  • Another name for a beta blocker

  • A type of decongestant

  • A receptor site in the lungs

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