Joshua Westerfield
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Chapter 15

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Joshua Westerfield
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Chapter 15 Autonomic Nervous System Drugs

Chapter 15 Autonomic Nervous System Drugs

Question 1 of 19

1

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

Select one of the following:

  • Palpitations

  • Hypertension

  • Hypoglycemia

  • Bronchospasm

  • Uterine Contractions

Explanation

Question 2 of 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?

Select one of the following:

  • Hypothyroidism

  • Angina Pectoris

  • Bronchial Asthma

  • Liver Dysfunction

Explanation

Question 3 of 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?

Select one of the following:

  • Increased bronchodilation

  • Decreased uterine contractility

  • Increased myocardial contractility

  • Decreased blood flow to skeletal muscles

Explanation

Question 4 of 19

1

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

Select one of the following:

  • Decreased pulse

  • Pupil constriction

  • Bronchial constriction

  • Increased blood pressure

Explanation

Question 5 of 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).

Select one or more of the following:

  • Albuterol

  • Metoprolol

  • Propanolol

  • Digoxin

  • Methyldopa

Explanation

Question 6 of 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).

Select one or more of the following:

  • Bradycardia

  • Hypotension

  • Ankle Edema

  • Decreased respirations

  • Increased respirations

Explanation

Question 7 of 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).

Select one or more of the following:

  • Ginseng supplement

  • an NSAID drug, such as aspirin

  • Atropine, an anticholinergic

  • Haloperidol

  • Methyldopa

Explanation

Question 8 of 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?

Select one of the following:

  • "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."

Explanation

Question 9 of 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?

Select one of the following:

  • Ensure a patent airway.

  • Obtain an ECG.

  • Administer 1mg of 1:100 epi SQ

  • Start an IV of Normal Saline.

Explanation

Question 10 of 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?

Select one of the following:

  • 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?

Explanation

Question 11 of 19

1

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

Select one or more of the following:

  • Albuterol

  • Atenolol

  • Propanolol

  • Amphetamine

  • Acebutolol

Explanation

Question 12 of 19

1

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

Select one of the following:

  • dobutamine

  • epinephrine

  • phentolamine

  • reserpine

Explanation

Question 13 of 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.)

Select one or more of the following:

  • Psuedoephedrine

  • Midodrine

  • Albuterol

  • Carvedilol

Explanation

Question 14 of 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?

Select one of the following:

  • Allergic rhinitis

  • Hypertension

  • Orthostatic Hypotension

  • Chronic Bronchitis

Explanation

Question 15 of 19

1

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

Select one of the following:

  • Norepinephrine

  • Dopamine

  • Phenyleprine

  • Dobutamine

Explanation

Question 16 of 19

1

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

Select one or more of the following:

  • GI Tract

  • Lungs

  • Kidneys

  • Brain

  • Heart

Explanation

Question 17 of 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?

Select one of the following:

  • Reserpine

  • Albuterol

  • Propanolol

  • Pseudoephedrine

Explanation

Question 18 of 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?

Select one of the following:

  • 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.

Explanation

Question 19 of 19

1

What is a catecholamine?

Select one of the following:

  • A substance that can produce a sympathomimetic response

  • Another name for a beta blocker

  • A type of decongestant

  • A receptor site in the lungs

Explanation

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