Chapter 15 Autonomic Nervous System Drugs

Descrição

Chapter 15
Joshua Westerfield
Quiz por Joshua Westerfield, atualizado more than 1 year ago
Joshua Westerfield
Criado por Joshua Westerfield mais de 6 anos atrás
28
1

Resumo de Recurso

Questão 1

Questão
The nurse will monitor the patient taking albuterol for which conditions? (Select all that apply)
Responda
  • Palpitations
  • Hypertension
  • Hypoglycemia
  • Bronchospasm
  • Uterine Contractions

Questão 2

Questão
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?
Responda
  • Hypothyroidism
  • Angina Pectoris
  • Bronchial Asthma
  • Liver Dysfunction

Questão 3

Questão
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?
Responda
  • Increased bronchodilation
  • Decreased uterine contractility
  • Increased myocardial contractility
  • Decreased blood flow to skeletal muscles

Questão 4

Questão
A patient is given epinephrine, an adrenergic agonist (sympathomimetic). The nurse should monitor the patient for which condition?
Responda
  • Decreased pulse
  • Pupil constriction
  • Bronchial constriction
  • Increased blood pressure

Questão 5

Questão
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).
Responda
  • Albuterol
  • Metoprolol
  • Propanolol
  • Digoxin
  • Methyldopa

Questão 6

Questão
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).
Responda
  • Bradycardia
  • Hypotension
  • Ankle Edema
  • Decreased respirations
  • Increased respirations

Questão 7

Questão
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).
Responda
  • Ginseng supplement
  • an NSAID drug, such as aspirin
  • Atropine, an anticholinergic
  • Haloperidol
  • Methyldopa

Questão 8

Questão
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?
Responda
  • "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."

Questão 9

Questão
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?
Responda
  • Ensure a patent airway.
  • Obtain an ECG.
  • Administer 1mg of 1:100 epi SQ
  • Start an IV of Normal Saline.

Questão 10

Questão
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?
Responda
  • 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?

Questão 11

Questão
Which drug(s) is/are classified as beta blockers? (Select all that apply)
Responda
  • Albuterol
  • Atenolol
  • Propanolol
  • Amphetamine
  • Acebutolol

Questão 12

Questão
The nurse discovers an IV has infiltrated on a patient receiving IV dopamine. The nurse prepares to administer _______________ as an antidote.
Responda
  • dobutamine
  • epinephrine
  • phentolamine
  • reserpine

Questão 13

Questão
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.)
Responda
  • Psuedoephedrine
  • Midodrine
  • Albuterol
  • Carvedilol

Questão 14

Questão
Some over-the-counter medications for cold symptoms contain substances that have sympathetic properties. These drugs are contraindicated in patients with which disease process?
Responda
  • Allergic rhinitis
  • Hypertension
  • Orthostatic Hypotension
  • Chronic Bronchitis

Questão 15

Questão
Which adrenergic drug used in emergency settings does not decrease renal function?
Responda
  • Norepinephrine
  • Dopamine
  • Phenyleprine
  • Dobutamine

Questão 16

Questão
Where are beta 1 receptors located? (Select all that apply)
Responda
  • GI Tract
  • Lungs
  • Kidneys
  • Brain
  • Heart

Questão 17

Questão
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?
Responda
  • Reserpine
  • Albuterol
  • Propanolol
  • Pseudoephedrine

Questão 18

Questão
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?
Responda
  • 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.

Questão 19

Questão
What is a catecholamine?
Responda
  • 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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