Joshua Westerfield
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Chapter 15

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Joshua Westerfield
Creado por Joshua Westerfield hace más de 6 años
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Chapter 15 Autonomic Nervous System Drugs

Pregunta 1 de 19

1

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

Selecciona una de las siguientes respuestas posibles:

  • Palpitations

  • Hypertension

  • Hypoglycemia

  • Bronchospasm

  • Uterine Contractions

Explicación

Pregunta 2 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Hypothyroidism

  • Angina Pectoris

  • Bronchial Asthma

  • Liver Dysfunction

Explicación

Pregunta 3 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Increased bronchodilation

  • Decreased uterine contractility

  • Increased myocardial contractility

  • Decreased blood flow to skeletal muscles

Explicación

Pregunta 4 de 19

1

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

Selecciona una de las siguientes respuestas posibles:

  • Decreased pulse

  • Pupil constriction

  • Bronchial constriction

  • Increased blood pressure

Explicación

Pregunta 5 de 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).

Selecciona una o más de las siguientes respuestas posibles:

  • Albuterol

  • Metoprolol

  • Propanolol

  • Digoxin

  • Methyldopa

Explicación

Pregunta 6 de 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).

Selecciona una o más de las siguientes respuestas posibles:

  • Bradycardia

  • Hypotension

  • Ankle Edema

  • Decreased respirations

  • Increased respirations

Explicación

Pregunta 7 de 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).

Selecciona una o más de las siguientes respuestas posibles:

  • Ginseng supplement

  • an NSAID drug, such as aspirin

  • Atropine, an anticholinergic

  • Haloperidol

  • Methyldopa

Explicación

Pregunta 8 de 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?

Selecciona una de las siguientes respuestas posibles:

  • "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."

Explicación

Pregunta 9 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Ensure a patent airway.

  • Obtain an ECG.

  • Administer 1mg of 1:100 epi SQ

  • Start an IV of Normal Saline.

Explicación

Pregunta 10 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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?

Explicación

Pregunta 11 de 19

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • Albuterol

  • Atenolol

  • Propanolol

  • Amphetamine

  • Acebutolol

Explicación

Pregunta 12 de 19

1

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

Selecciona una de las siguientes respuestas posibles:

  • dobutamine

  • epinephrine

  • phentolamine

  • reserpine

Explicación

Pregunta 13 de 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.)

Selecciona una o más de las siguientes respuestas posibles:

  • Psuedoephedrine

  • Midodrine

  • Albuterol

  • Carvedilol

Explicación

Pregunta 14 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Allergic rhinitis

  • Hypertension

  • Orthostatic Hypotension

  • Chronic Bronchitis

Explicación

Pregunta 15 de 19

1

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

Selecciona una de las siguientes respuestas posibles:

  • Norepinephrine

  • Dopamine

  • Phenyleprine

  • Dobutamine

Explicación

Pregunta 16 de 19

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • GI Tract

  • Lungs

  • Kidneys

  • Brain

  • Heart

Explicación

Pregunta 17 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Reserpine

  • Albuterol

  • Propanolol

  • Pseudoephedrine

Explicación

Pregunta 18 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 19 de 19

1

What is a catecholamine?

Selecciona una de las siguientes respuestas posibles:

  • A substance that can produce a sympathomimetic response

  • Another name for a beta blocker

  • A type of decongestant

  • A receptor site in the lungs

Explicación