Chapter 15 Autonomic Nervous System Drugs

Description

Chapter 15
Joshua Westerfield
Quiz by Joshua Westerfield, updated more than 1 year ago
Joshua Westerfield
Created by Joshua Westerfield over 6 years ago
28
1

Resource summary

Question 1

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

Question 2

Question
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?
Answer
  • Hypothyroidism
  • Angina Pectoris
  • Bronchial Asthma
  • Liver Dysfunction

Question 3

Question
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?
Answer
  • Increased bronchodilation
  • Decreased uterine contractility
  • Increased myocardial contractility
  • Decreased blood flow to skeletal muscles

Question 4

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

Question 5

Question
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).
Answer
  • Albuterol
  • Metoprolol
  • Propanolol
  • Digoxin
  • Methyldopa

Question 6

Question
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).
Answer
  • Bradycardia
  • Hypotension
  • Ankle Edema
  • Decreased respirations
  • Increased respirations

Question 7

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

Question 8

Question
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?
Answer
  • "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."

Question 9

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

Question 10

Question
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?
Answer
  • 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?

Question 11

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

Question 12

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

Question 13

Question
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.)
Answer
  • Psuedoephedrine
  • Midodrine
  • Albuterol
  • Carvedilol

Question 14

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

Question 15

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

Question 16

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

Question 17

Question
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?
Answer
  • Reserpine
  • Albuterol
  • Propanolol
  • Pseudoephedrine

Question 18

Question
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?
Answer
  • 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.

Question 19

Question
What is a catecholamine?
Answer
  • 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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