OF TEXAS AT ARLINGTON|QUESTIONS AND CORRECT
VERIFIED ANSWERS|ALREADY GRADED A+
The nurse administered epinephrine to a client with a severe case of
angioedema related to administration of ACE inhibitors. What adverse
effects should the nurse monitor for in this client?
Palpitations
Tremors
Agitation
A client received epinephrine for an anaphylactic reaction in the
emergency department 6 hours ago. Since that time, the client has
been unable to void. What assessment should the nurse perform to
determine the cause of urinary issue?
Palpate the area above the symphysis pubis bone
When a patient has experienced extravasation of a peripheral infusion
of dopamine, the nurse will inject the alpha blocker phentolamine
(Regitine) into the area of extravasation and expect which effect?
a Vasoconstriction
b Vasodilation
c Analgesia
d Hypotension
b Vasodilation
When administering beta blockers, the nurse will follow which
guideline for administration and monitoring?
a The drug may be discontinued at any time.
b Postural hypotension rarely occurs with this drug.
c Tapering off the medication is necessary to prevent rebound
hypertension.
pg. 1
,d The patient needs to stop taking the medication at once if he or she
gains 3 to 4 pounds in a week.
c Tapering off the medication is necessary to prevent rebound
hypertension
The nurse providing teaching for a patient who has a new prescription
for beta1 blockers will keep in mind that these drugs may result in
which effect?
a Tachycardia
b Tachypnea
c Bradycardia
d Bradypnea
c Bradycardia
A patient who has recently had a myocardial infarction (MI) has
started therapy with a beta blocker. The nurse explains that the main
purpose of the beta blocker for this patient is to
a cause vasodilation of the coronary arteries.
b prevent hypertension.
c increase conduction through the SA node.
d protect the heart from circulating catecholamines.
d protect the heart from circulating catecholamines
Before initiating therapy with a nonselective beta blocker, the nurse
will assess the patient for a history of which condition?
a Hypertension
b Liver disease
c Pancreatitis
d Asthma
d Asthma
pg. 2
,A patient is taking an alpha blocker as treatment for benign prostatic
hyperplasia. The nurse will monitor for which potential drug effects?
(Select all that apply.)
a Orthostatic hypotension
b Increased blood pressure
c Increased urine flow
d Headaches
e Bradycardia
a Orthostatic hypotension
c Increased urine flow
d Headaches
The nurse is monitoring a patient who is receiving an infusion of a
beta-adrenergic agonist. Which adverse effects may occur with this
infusion? (Select all that apply.)
a Mild tremors
b Bradycardia
c Tachycardia
d Palpitations
e Drowsiness
f Nervousness
a Mild tremors
c Tachycardia
d Palpitations
f Nervousness
The order reads: "Dopamine 3 mcg/kg/min IV." The solution available
is 400 mg in 250 mL D5W, and the patient weighs 176 pounds. The
nurse will set the IV infusion pump to run at how many mL/hour?
pg. 3
, 9 mL/hr
What are the 3 main endogenous catecholamines?
Dopamine
Epinephrine
Norepinephrine
What are the only 2 contraindications for adrenergic drugs?
Drug Allergy
Severe Hypertension
What happens when dopaminergic receptors are stimulated by
dopamine?
Cause vessels of the renal, mesenteric, coronary, and cerebral arteries
to dilate, which increases blood flow to these tissues
The nurse caring for a patient who is receiving beta1 agonist drug
therapy needs to be aware that these drugs cause which effect?
a Increased cardiac contractility
b Decreased heart rate
c Bronchoconstriction
d Increased GI tract motility
a Increased cardiac contractility
During a teaching session for a patient who is receiving inhaled
salmeterol, the nurse emphasizes that the drug is indicated for which
condition?
a Rescue treatment of acute bronchospasms
b Prevention of bronchospasms
c Reduction of airway inflammation
d Long-term treatment of sinus congestion
pg. 4