ATI PHARMACOLOGY FINAL REVIEW -STUDY GUIDE(QUESTIONS,ANSWERS AND RATIONALES GRADED A)

ATI PHARMACOLOGY FINAL REVIEW -STUDY GUIDE(QUESTIONS,ANSWERS AND RATIONALES 100%CORRECT) A patient’s heart rate is found to be 72 beats per minute and regular. The nurse evaluates which situation in the patient’s peripheral nervous system? A nurse is reading about the development of drugs that inhibit the parasympathetic nervous system. The nurse would look for articles about which drug classes? Mark the site of the ganglionic synapse on this diagram A patient has been prescribed an oral drug containing atropine. The nurse would hold the drug and Contact the prescriber if which patient statements are made? The nurse has completed medication education about pyridostigmine (Mestinon), an indirect cholinergic drug, for the patient with myasthenia gravis. The nurse determines that learning has occurred when the patient makes which statement? The physician has ordered bethanechol (Urecholine), a cholinergic drug, for the patient with urinary retention. The patient also has an enlarged prostate gland. What is the priority action by the nurse? The preop patient will be receiving glycopyrrolate (Robinul), an anticholinergic drug, and asks the nurse, "Why do I need to have that shot?" What is the best response by the nurse? The nurse is preparing to administer medications to a group of patients. One of the medications is benztropine (Cogentin), an anticholinergic drug. This drug is contraindicated in which patient? The nurse is preparing to administer medications to a group of patients. One of the medications is atropine, an anticholinergic drug. This drug is contraindicated in which patient? The physician orders dicyclomine (Bentyl), an anticholinergic drug, for a patient. What is the nurse's priority assessment prior to administering this drug? The patient is quadriplegic and receives oxybutynin (Ditropan), an anticholinergic drug, to increase his bladder capacity. What is an important assessment of this patient by the nurse? he nursing instructor teaches the student nurses about the nervous system. The instructor determines that learning has occurred when the students make which statement(s)? Standard Text: Select all that apply. The nursing instructor teaches the student nurses about the autonomic nervous system. The instructor determines that learning has occurred when the students make which statement(s)? The student nurse asks the nursing instructor, "Do the medications we are studying actually make more neurotransmitters?" What is the best response by the nursing instructor? The ability of a person to use his arm muscles to lift a weight is primarily regulated by Which of the following responses are regulated by the sympathetic nervous system? A person who had her adrenergic receptors activated would experience Which substance would inhibit the function of the autonomic nervous system? Which cholinergic receptor type is found at the ganglionic synapse of both the sympathetic and parasympathetic nervous systems? A patient is prescribed an anticholinergic drug. What discharge instructions should the nurse provide? Which statement is accurate regarding exogenous acetylcholine? The nurse explains that atropine (Atropair) increases heart rate in which manner? Which patient situations are considered involuntary responses to autonomic nervous system control? A patient has sustained a large blood loss. During the assessment, the nurse realizes that which findings are under the control of the nervous system? The nurse is caring for a patient with multisystem organ failure. Which patient assessment findings are under the control of the sympathetic nervous system? A student nurse is learning about a medication that affects the autonomic nervous system. When instructing the student about the effects of this medication, the nurse will begin by explaining the basic unit of this system. What does this include? The nurse educator is reviewing the process of synaptic transmission following the sympathetic pathway. In which order will the nurse explain the steps of synaptic transmission? A patient is prescribed a medication that will block muscarinic receptors. The nurse realizes that this medication has implications for which body systems? A patient has been prescribed scopolamine (Transderm-Scop) for the prevention of motion sickness. The nurse should teach the patient to immediately report which adverse effects? A patient who has myasthenia gravis (MG) presents to the emergency department with abrupt onset of increased muscle weakness and difficulty swallowing. An attempt to distinguish worsening of the MG symptoms from overdose of the patient’s prescribed anticholinergic is planned. What medications should the nurse obtain for use in this procedure? The patient receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement? The patient receives metaproterenol (Alupent), an adrenergic drug. A consulting physician orders carteolol (Cartrol), a beta blocker. What best describes the nurse's assessment? The nurse has been doing medication education for the patient receiving atenolol (Tenormin), a beta blocker. The nurse determines that learning has occurred when the patient makes which statement? The physician ordered prazosin (Minipress), an alpha-adrenergic blocker, for the patient. The nurse plans to do medication education. What will the best plan of the nurse include? A patient has been prescribed an alpha1 adrenergic agonist drug. The nurse would plan to monitor for effects from which organs? A patient is prescribed a drug that activates alpha2 receptors. The nurse would plan care based on which physiological response? A nurse is reviewing medical records for usage of drugs that are beta2 agonists. The nurse should start with the medical records of patients with which conditions? A patient who is in heart failure is administered a beta1 agonist. The nurse would evaluate that the drug is effective if which changes occur? A patient has been prescribed isoproterenol (Isuprel). The nurse plans care based on the drug’s stimulation of which receptors? The nurse is providing discharge medication instruction to the family of a child who is severely allergic to peanuts. Mark the spot where the family or patient should inject epinephrine from an EpiPen should an allergic response occur. A nurse is providing discharge medication instruction regarding use of injectable epinephrine (EpiPen). What information should the nurse include? A patient has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. What information about adverse effects should the nurse provide in discharge teaching? The nurse is preparing to administer an adrenergic drug intravenously. What nursing actions should be planned? patient has been prescribed phenylephrine (Neo-Synephrine). Prior to administering this drug the nurse would review the patient’s medication history for presence of which drugs? A patient who was recently prescribed an adrenergic drug says, “I am so nervous and I cannot sleep.” The nurse would ask which questions? A patient who has used an adrenergic nasal spray for 2 weeks complains that, “I am more stuffed up now than I was when I was sick.” What advise should the nurse provide? An older adult patient received an adrenergic eye drop to dilate the pupils for a retinal exam. What information should the nurse provide when discharging this patient? A patient has been prescribed an adrenergic nasal spray. What medication instruction should the nurse provide? Which statement is accurate concerning drugs classified as adrenergic antagonists? During assessment a patient says, “I took my blood pressure at home and it was high. I have been taking my husband’s propranolol (Inderal) for the last week.” The nurse is especially concerned about this action when it is noted that the patient has which preexisting conditions? A patient states, “I stopped taking that beta blocker last week. It made me so tired, I just couldn’t go on taking it.” What are the priority nursing assessments? A patient has been prescribed prazosin (Minipress). What information should the nurse provide? A patient who was administered prazosin (Minipress) became unconscious 30 minutes after the first dose. What medications should the nurse prepare for resuscitation? A patient has been prescribed an adrenergic-blocker for treatment of hypertension. What information should the nurse provide? A patient returns to the clinic for follow-up after taking an adrenergic blocking medication for benign prostatic hypertrophy (BPH.) What assessment questions should the nurse ask? The nurse would classify which sympathomimetics as binding to and activating adrenergic receptors? A patient is being assessed for the presence of pheochromocytoma. The nurse would prepare for which interventions? Due to an administration error, a patient may have received too much phenylephrine (Neo-Synephrine). Which findings would support the nurse’s concerns about overdosage? Select all that apply. A 48-year-old male patient tells the nurse, “I have stopped taking my prazosin (Minipress). I don’t like its effect on me.” The nurse should ask further assessment questions about which possible effects? The patient tells the nurse he worries about everything all day, feels confused, restless, and just can't stop worrying. What is the best response by the nurse? ......................................................CONTINUED..................................................................DOWNLOAD FOR MORE REVISION AND BEST SCORES.........