TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY
12TH EDITION By Susan M Ford
Chapter 23, Adrenergic Drugs
1. An older client with acute sinusitis is administered epinephrine emergently. The
nurse should prioritize reporting a change in which assessment finding to the
health care provider?
A) Blood glucose level
B) Appetite
C) Temperature
D) Pulse rate
Answer: D
Rationale: The nurse should report any changes observed in pulse rate or rhythm
immediately. Epinephrine does not affect the glucose level, appetite, or
temperature. These do not need to be reported immediately to the primary care
provider unless they are severe. The nurse would need to perform further
assessments to determine the cause of these findings.
Question Format: Multiple Choice
Chapter: 23
Learning Objective: 4
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 286, Lifespan Considerations
2. The nurse is preparing to teach a client with intractable orthostatic hypotension
about the midodrine which has been prescribed. Which instruction will the nurse
prioritize in the teaching?
A) Take midodrine during the day while awake.
B) Remain in a supine position for 30 minutes.
C) Take the medication at bedtime.
D) Instruct on the use of assistive devices.
Answer: A
Rationale: The nurse can minimize the risk of supine hypertension by instructing
that the drug should be taken during the daytime and not at bedtime. The nurse
should ensure that the client stays in an upright, not supine, position. The use of
assistive devices depends on the condition of the client and may or may not be
related to the use of midodrine. The main concern is preventing supine
hypertension.
Question Format: Multiple Choice
Chapter: 23
Learning Objective: 6
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
, Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 286, Contraindications
3. A client presents to the emergency department following a traffic accident. The
nurse prepares to administer an adrenergic agent after assessing for signs of
shock which includes which finding?
A) Increased temperature
B) Reddish/pinkish skin
C) Dry, dehydrated skin
D) Changes in consciousness
Answer: D
Rationale: Symptoms of shock, such as a change in the level of consciousness,
should be recorded by the nurse as part of the preadministration assessment.
Cool skin, not elevated temperature, is another symptom of shock. The nurse also
needs to record signs of diaphoresis and cyanosis, not reddish/pinkish or dry,
dehydrated skin.
Question Format: Multiple Choice
Chapter: 23
Learning Objective: 4
Cognitive Level: Apply
Client Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 287, Preadministration Assessment
4. A client is prescribed dopamine. Which point would the nurse include in the
client's plan of care?
A) Administering dopamine only via IV route
B) Maintaining a fixed rate of administration
C) Monitoring blood pressure every half hour
D) Diluting dopamine with sodium bicarbonate
Answer: A
Rationale: The nurse should ensure that dopamine is administered intravenously.
The rate of administration of the drug should be adjusted according to the client's
blood pressure, and it should not be fixed at any particular rate. The client should
be monitored continuously from the beginning of therapy until the desired blood
pressure is achieved. Dopamine is not mixed with sodium bicarbonate or any
other alkaline IV solutions. It should also not be diluted as it will change the
amount of drug being infused and may not achieve the desired results.
Question Format: Multiple Choice
Chapter: 23
Learning Objective: 6
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 287, Ineffective Tissue Perfusion
12TH EDITION By Susan M Ford
Chapter 23, Adrenergic Drugs
1. An older client with acute sinusitis is administered epinephrine emergently. The
nurse should prioritize reporting a change in which assessment finding to the
health care provider?
A) Blood glucose level
B) Appetite
C) Temperature
D) Pulse rate
Answer: D
Rationale: The nurse should report any changes observed in pulse rate or rhythm
immediately. Epinephrine does not affect the glucose level, appetite, or
temperature. These do not need to be reported immediately to the primary care
provider unless they are severe. The nurse would need to perform further
assessments to determine the cause of these findings.
Question Format: Multiple Choice
Chapter: 23
Learning Objective: 4
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 286, Lifespan Considerations
2. The nurse is preparing to teach a client with intractable orthostatic hypotension
about the midodrine which has been prescribed. Which instruction will the nurse
prioritize in the teaching?
A) Take midodrine during the day while awake.
B) Remain in a supine position for 30 minutes.
C) Take the medication at bedtime.
D) Instruct on the use of assistive devices.
Answer: A
Rationale: The nurse can minimize the risk of supine hypertension by instructing
that the drug should be taken during the daytime and not at bedtime. The nurse
should ensure that the client stays in an upright, not supine, position. The use of
assistive devices depends on the condition of the client and may or may not be
related to the use of midodrine. The main concern is preventing supine
hypertension.
Question Format: Multiple Choice
Chapter: 23
Learning Objective: 6
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
, Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 286, Contraindications
3. A client presents to the emergency department following a traffic accident. The
nurse prepares to administer an adrenergic agent after assessing for signs of
shock which includes which finding?
A) Increased temperature
B) Reddish/pinkish skin
C) Dry, dehydrated skin
D) Changes in consciousness
Answer: D
Rationale: Symptoms of shock, such as a change in the level of consciousness,
should be recorded by the nurse as part of the preadministration assessment.
Cool skin, not elevated temperature, is another symptom of shock. The nurse also
needs to record signs of diaphoresis and cyanosis, not reddish/pinkish or dry,
dehydrated skin.
Question Format: Multiple Choice
Chapter: 23
Learning Objective: 4
Cognitive Level: Apply
Client Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 287, Preadministration Assessment
4. A client is prescribed dopamine. Which point would the nurse include in the
client's plan of care?
A) Administering dopamine only via IV route
B) Maintaining a fixed rate of administration
C) Monitoring blood pressure every half hour
D) Diluting dopamine with sodium bicarbonate
Answer: A
Rationale: The nurse should ensure that dopamine is administered intravenously.
The rate of administration of the drug should be adjusted according to the client's
blood pressure, and it should not be fixed at any particular rate. The client should
be monitored continuously from the beginning of therapy until the desired blood
pressure is achieved. Dopamine is not mixed with sodium bicarbonate or any
other alkaline IV solutions. It should also not be diluted as it will change the
amount of drug being infused and may not achieve the desired results.
Question Format: Multiple Choice
Chapter: 23
Learning Objective: 6
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 287, Ineffective Tissue Perfusion
