Joshua Westerfield
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Chapter 15

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Joshua Westerfield
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Chapter 15 Autonomic Nervous System Drugs

Questão 1 de 19

1

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

Selecione uma das seguintes:

  • Palpitations

  • Hypertension

  • Hypoglycemia

  • Bronchospasm

  • Uterine Contractions

Explicação

Questão 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?

Selecione uma das seguintes:

  • Hypothyroidism

  • Angina Pectoris

  • Bronchial Asthma

  • Liver Dysfunction

Explicação

Questão 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?

Selecione uma das seguintes:

  • Increased bronchodilation

  • Decreased uterine contractility

  • Increased myocardial contractility

  • Decreased blood flow to skeletal muscles

Explicação

Questão 4 de 19

1

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

Selecione uma das seguintes:

  • Decreased pulse

  • Pupil constriction

  • Bronchial constriction

  • Increased blood pressure

Explicação

Questão 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).

Selecione uma ou mais das seguintes:

  • Albuterol

  • Metoprolol

  • Propanolol

  • Digoxin

  • Methyldopa

Explicação

Questão 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).

Selecione uma ou mais das seguintes:

  • Bradycardia

  • Hypotension

  • Ankle Edema

  • Decreased respirations

  • Increased respirations

Explicação

Questão 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).

Selecione uma ou mais das seguintes:

  • Ginseng supplement

  • an NSAID drug, such as aspirin

  • Atropine, an anticholinergic

  • Haloperidol

  • Methyldopa

Explicação

Questão 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?

Selecione uma das seguintes:

  • "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."

Explicação

Questão 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?

Selecione uma das seguintes:

  • Ensure a patent airway.

  • Obtain an ECG.

  • Administer 1mg of 1:100 epi SQ

  • Start an IV of Normal Saline.

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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?

Explicação

Questão 11 de 19

1

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

Selecione uma ou mais das seguintes:

  • Albuterol

  • Atenolol

  • Propanolol

  • Amphetamine

  • Acebutolol

Explicação

Questão 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.

Selecione uma das seguintes:

  • dobutamine

  • epinephrine

  • phentolamine

  • reserpine

Explicação

Questão 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.)

Selecione uma ou mais das seguintes:

  • Psuedoephedrine

  • Midodrine

  • Albuterol

  • Carvedilol

Explicação

Questão 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?

Selecione uma das seguintes:

  • Allergic rhinitis

  • Hypertension

  • Orthostatic Hypotension

  • Chronic Bronchitis

Explicação

Questão 15 de 19

1

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

Selecione uma das seguintes:

  • Norepinephrine

  • Dopamine

  • Phenyleprine

  • Dobutamine

Explicação

Questão 16 de 19

1

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

Selecione uma ou mais das seguintes:

  • GI Tract

  • Lungs

  • Kidneys

  • Brain

  • Heart

Explicação

Questão 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?

Selecione uma das seguintes:

  • Reserpine

  • Albuterol

  • Propanolol

  • Pseudoephedrine

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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.

Explicação

Questão 19 de 19

1

What is a catecholamine?

Selecione uma das seguintes:

  • A substance that can produce a sympathomimetic response

  • Another name for a beta blocker

  • A type of decongestant

  • A receptor site in the lungs

Explicação