Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 18
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Question #1
A patient is being treated with epinephrine in a code situation. The nurse finds a solution marked "epinephrine 1:10,000" on the crash cart. Which phrase describes what the nurse interprets the strength of the medication to be?
A.
0.1 mg of medication contained in 1 mL of solution
B.
1 kg of medication contained in 1 mL of solution
C.
10 mcg of medication contained in 1 mL of solution
D.
1 g of medication contained in 1 mL of solution
Question #2
Which assessment would be completed prior to administering an adrenergic agonist?
A.
Blood pressure
B.
Skin integrity
C.
Temperature
D.
Respiratory rate
Question #3
Which adrenergic receptors are primarily located in the heart?
A.
Beta2
B.
Beta1
C.
Alpha1
D.
Alpha2
Question #4
Which drug is a direct-acting sympathomimetic?
A.
Amphetamine
B.
Albuterol
C.
Epinephrine
D.
Ephedrine
Question #5
Which effect may be seen when adrenergic drugs are administered with monoamine oxidase inhibitors (MAOIs)?
A.
Reduced therapeutic effects
B.
Increased effects of adrenergic drugs
C.
Increased risk for cardiac dysrhythmias
D.
Increased risk of hypertensive crisis
Question #6
Where are beta2-adrenergic receptors located in the body?
A.
Bladder sphincter, Pupillary muscles of the iris, Bronchioles
B.
Arterioles, Bronchioles, Visceral organs
C.
Visceral organs, Bladder sphincter, Pupillary muscles of the iris
D.
Bladder sphincter, Pupillary muscles of the iris, Arterioles
Question #7
Which response is elicited by the activation of beta1 receptors located on the sinoatrial node?
A.
Vasoconstriction
B.
Increased contractility
C.
Increased heart rate
D.
Vasodilation
Question #8
Which effect is a result of beta1-adrenergic-receptor stimulation?
A.
Vasoconstriction
B.
Increased renin secretion
C.
Mydriasis
D.
Ejaculation
Question #9
Which is an example of endogenous catecholamines?
A.
Norepinephrine, Dobutamine, Phenylephrine
B.
Dopamine, Epinephrine, Norepinephrine
C.
Epinephrine, Dobutamine, Phenylephrine
D.
Dobutamine, Phenylephrine, Dopamine
Question #10
Drugs in which class may interact with adrenergic drugs?
A.
Nonsteroidal antiinflammatory drugs
B.
Thyroid preparations
C.
Selective serotonin reuptake inhibitors
D.
Opioids
Question #11
During a cardiopulmonary resuscitation emergency, the nurse expects to administer which injectable, fast-acting medication?
A.
Naphazoline
B.
Epinephrine
C.
Salmeterol
D.
Oxymetazoline
Question #12
The nurse recognizes that which medication is classified as an alpha-adrenergic agonist?
A.
Phenylephrine
B.
Dobutamine
C.
Terbutaline
D.
Ephedrine
Question #13
Which laboratory test would a nurse anticipate for a patient receiving alpha-adrenergic medication?
A.
Increased level of magnesium
B.
Increased level of calcium
C.
Increased level of potassium
D.
Increased level of glucose
Question #14
The nurse would instruct a patient to take oral midodrine at which time?
A.
2100
B.
1500
C.
1200
D.
0700
Question #15
Which action would the nurse perform to help prevent infiltration of a dopamine infusion site?
A.
Encourage the patient to lie with her arm held completely straight.
B.
Assess blood pressures in the patient’s other arm.
C.
Check the site every hour for evidence of swelling.
D.
Encourage the patient to call if the site becomes painful.
Question #16
Which assessment will indicate that the patient is having the expected therapeutic effect of intravenous epinephrine medication?
A.
Bronchial constriction and wheezing
B.
Increased heart rate and strong pulse
C.
Increased bowel sounds
D.
Decreased blood pressure
Question #17
Which effect does the nurse expect in the patient with heart failure after administration of dobutamine?
A.
Arteriolar vasodilation
B.
Elevated blood pressure
C.
Peripheral vasoconstriction
D.
Increased cardiac contractility
Question #18
A patient has been ordered a new medication in the form of an inhalant. The patient tells the nurse that the inside of her mouth is irritated. Which instruction is most important for the nurse to give the patient?
A.
"Inspect your mouth frequently for evidence of irritation."
B.
"Thoroughly rinse all equipment after each usage."
C.
"Make certain there is a waiting period between using the medications."
D.
"Thoroughly rinse your mouth after using the medication."
Question #19
Which statement is the most accurate outcome criteria for the nurse to use when determining whether a patient is appropriately responding to use of an adrenergic drug?
A.
The patient awakens easily during the nurse’s morning rounds and states, "I feel fine."
B.
The patient’s respiratory rate is 16 breaths/min, and blood pressure is 130/72 mm Hg.
C.
The patient is alert to time, person, and place and makes coherent conversation.
D.
The patient can correctly state three side effects of the medication.
Question #20
Which response is a priority with an older adult who is taking a beta-adrenergic agonist and complaining of headaches?
A.
Ask what over-the-counter medications the patient uses to treat headaches.
B.
Reassure the patient that this is an expected side effect of the medication.
C.
Take the patient’s blood pressure and notify the prescribing health care provider.
D.
Instruct the patient to maintain a symptom diary documenting the incidence of the headaches.
Question #21
Which medication does the nurse expect to be prescribed to a patient with hypovolemic shock with no palpable carotid pulse and who is unresponsive?
A.
Dopamine and Epinephrine
B.
Midodrine and Dobutamine
C.
Midodrine and Norepinephrine
D.
Norepinephrine and Dobutamine
Question #22
The teaching plan for a patient taking midodrine would include which instruction?
A.
Rise slowly out of bed each morning.
B.
Take your temperature at the same time each day.
C.
Count your respirations before taking this medication.
D.
Check your pulse before taking this medication.
Question #23
The health care provider has prescribed lidocaine with epinephrine for injection to be administered before obtaining a biopsy. The nurse would question the prescription after the patient makes which statement?
A.
"I break out in a rash when I take antibiotics."
B.
"I get faint when I see needles."
C.
"I’m getting over a cold I’ve had for 3 days."
D.
"I am taking a new medicine for high blood pressure."
Question #24
The patient tells the nurse, "I don’t understand why my salmeterol inhaler doesn’t help when I’m having an asthma attack." The nurse frames the response based on which information?
A.
Salmeterol can be given as needed throughout the day.
B.
Salmeterol should never be combined with another inhalant.
C.
Salmeterol must be administered according to specific instructions.
D.
Salmeterol is not designed to relieve acute symptoms.
Question #25
Which patient statement indicates understanding of how to appropriately self-administer a corticosteroid inhalant and a bronchodilator for asthma symptoms?
A.
"I will use the bronchodilator first, wait 5 minutes, and then use the corticosteroid inhalant."
B.
"I will use the bronchodilator first and then immediately follow with the corticosteroid inhalant."
C.
"I will use the bronchodilator drug in the morning and the corticosteroid at bedtime."
D.
"I will use both of the drugs in the morning and both again at bedtime to get the full effect."
Question #26
A patient who is taking a monoamine oxidase inhibitor (MAOI) is scheduled to begin treatment with an adrenergic drug. Which action would the nurse take?
A.
Administer the adrenergic drug as prescribed.
B.
Hold the dose of the adrenergic drug and notify the health care provider of the use of the MAOI medication.
C.
Plan for the health care provider decreasing the dose of the adrenergic drug.
D.
Closely monitor the patient during treatment for evidence of side effects.
Question #27
A patient with cardiac decompensation is receiving dobutamine as a continuous infusion. The patient’s blood pressure has increased from 100/70 mm Hg to 130/80 mm Hg. Which action would the nurse take while the patient is receiving this infusion?
A.
Assess frequent blood pressure readings.
B.
Assess the patient’s respiratory rate and measure arterial blood gases.
C.
Assess the patient’s electrocardiogram and slow the infusion.
D.
Assess the patient’s intake and output and decrease intravenous fluids.
Question #28
The nurse assesses the peripheral intravenous (IV) infusion site of a patient receiving IV dopamine and suspects extravasation. Which action will the nurse take?
A.
Elevate the patient’s extremity.
B.
Apply a cold pad to the site.
C.
Stop the infusion.
D.
Immediately pull the IV.
Question #29
Which patient statement indicates an understanding of the importance of administering the midodrine according to specified instructions?
A.
"I will take the first dose midmorning after I have been up for a couple of hours."
B.
"I will take the first dose after I get up in the morning and have eaten my breakfast."
C.
"I will take the first dose with just a sip of water after I get up each morning."
D.
"I will take the first dose in the morning with a full glass of water before I get out of bed."
Question #30
When administering adrenergic-agonist medications to an older adult, the nurse would monitor this patient closely because of which common physiologic change found in this age group?
A.
Increase in cardiac output. Increased filtering capacity of kidneys.
B.
Diminished stroke volume of the heart. Decline in efficiency of the heart muscle
C.
Increase in contractility of the heart muscle. Increase in cardiac output.
D.
Increased filtering capacity of kidneys. Increase in contractility of the heart muscle.
Question #31
The nurse administering alpha-adrenergic medications would monitor the patient closely for which adverse effect?
A.
Vasodilation and Hypotension
B.
Hypotension and Tachycardia
C.
Dry mouth and Restlessness
D.
Vasodilation and Tachycardia
Question #32
Which assessment needs to be completed before the nurse administers a positive chronotropic medication?
A.
Check apical pulse.
B.
Take blood pressure.
C.
Auscultate lungs.
D.
Count respiratory rate.
Question #33
Which information would be included when teaching an older adult about use of a beta-adrenergic agonist medication?
A.
Avoid excessive stress and heat. Slowly change positions from lying to sitting to standing. Monitor and record your blood pressure and heart rate at home. Add herbal supplements to improve cardiovascular health.
B.
Avoid excessive stress and heat. Add herbal supplements to improve cardiovascular health. Monitor and record your blood pressure and heart rate at home. Seek immediate medical attention for chest pain, palpitations, or seizures.
C.
Avoid excessive stress and heat. Slowly change positions from lying to sitting to standing. Monitor and record your blood pressure and heart rate at home. Seek immediate medical attention for chest pain, palpitations, or seizures.
D.
Add herbal supplements to improve cardiovascular health. Slowly change positions from lying to sitting to standing. Monitor and record your blood pressure and heart rate at home. Seek immediate medical attention for chest pain, palpitations, or seizures.
Question #34
The nurse recognizes that a patient who has been placed on midodrine has a clear understanding of how to administer the medication when the patient states that the last dose of the medication will be taken when?
A.
At bedtime
B.
No later than 6:00 p.m.
C.
Upon waking
D.
After 6:00 p.m.
Question #35
Which action would the nurse take when a 79-year-old patient who receives a beta-adrenergic agonist reports chest pain?
A.
Count the patient’s respiratory rate.
B.
Take the patient’s temperature.
C.
Ask the patient to rate pain intensity.
D.
Obtain a 12-lead electrocardiogram (ECG) at the bedside.
Question #36
Which is a therapeutic expected outcome of adrenergic agonists?
A.
Wheezing bilaterally, Decreased urinary output, Pink skin color
B.
Wheezing bilaterally, +2 peripheral pulses, Decreased urinary output
C.
Pink skin color, +2 peripheral pulses, Pulse rate 60 to 100 beats/min
D.
Pulse rate 60 to 100 beats/min, Wheezing bilaterally, Decreased urinary output
Question #37
During intravenous (IV) administration of dopamine, the nurse notes a bruise "bluish in color" and edema at the IV insertion site on the patient’s right arm. Which action is the nurse’s priority?
A.
Elevate the right arm above heart level.
B.
Start a second IV line in the left hand.
C.
Stop the dopamine infusion.
D.
Notify the health care provider.
Question #38
Which patient is at greatest risk for experiencing an adverse reaction to the two adrenergic drugs?
A.
A 17-year-old with bronchial asthma
B.
A 55-year-old with cardiac symptoms
C.
A 32-year-old with sinusitis
D.
A 72-year-old who has an ophthalmic condition
Question #39
Epinephrine 1 mg intravenous (IV) push is ordered for a patient during a cardiac emergency situation. Epinephrine 1:10,000 strength is available. How many milliliters will the nurse administer?
A.
20 mL
B.
12 mL
C.
15 mL
D.
10 mL
Question #40
Which ophthalmic medication would the nurse administer before a diagnostic eye examination?
A.
Fenoldopam
B.
Ephedrine
C.
Dobutamine
D.
Dipivefrin
Question #41
Which assessment would the nurse note when administering an alpha1 agonist to a postpartum patient?
A.
Listen to breath sounds. Auscultate bowel sounds. Check level of consciousness.
B.
Monitor pulse rate. Assess blood pressure. Palpate fundal firmness.
C.
Listen to breath sounds. Auscultate bowel sounds. Assess blood pressure.
D.
Palpate fundal firmness. Auscultate bowel sounds. Check level of consciousness.
Question #42
Which medication will a nurse question so as not to aggravate a diagnosis of mitral valve regurgitation?
A.
Norepinephrine, Dobutamine, Fenoldopam
B.
Midodrine, Phenylephrine, Norepinephrine
C.
Dobutamine, Fenoldopam, Phenylephrine
D.
Dobutamine, Midodrine, Fenoldopam
Question #43
Which information is most important for the nurse to give to the patient regarding an ophthalmic form of a beta-adrenergic agonist drug?
A.
"Administer the eye drops directly onto the eye itself."
B.
"Make sure that the medication is a clear solution before administering."
C.
"Do not allow the eye dropper to touch the eye when administering the medication."
D.
"Make sure that the medication vial has a clearly documented expiration date."
Question #44
A patient has been ordered two drugs of the same class to be used for treatment of asthma. The patient asks the nurse, "Why do I have to use more than one medication to treat this? Isn’t one enough?" Which statement by the nurse is an appropriate response?
A.
"No, in this case, one drug is not enough to do what’s needed for you."
B.
"You need to ask your health care provider questions like that."
C.
"I will arrange for the pharmacist to do a presentation for you."
D.
"Sometimes use of more than one drug will give a combined therapeutic effect."
Question #45
When teaching an 83-year-old patient about the effects of adrenergic agonists, the nurse will advise the patient to avoid which activity?
A.
Visiting spouse in a long-term care facility
B.
Taking prescribed herbal supplements
C.
Slow jog in summer
D.
Daily walk around the block
Question #46
Which action would be most important for the nurse to take while administering dopamine intravenously?
A.
Verify that the patient understands why the medication is being given.
B.
Check the patient’s intravenous site hourly for infiltration.
C.
Determine that the medication is infusing at the proper rate.
D.
Verify that the medication is mixed with the proper diluent.
Question #47
Which statement indicates that the patient understands how to take salmeterol for asthma symptoms?
A.
"I will give myself one puff twice a day at 7:00 a.m. and 7:00 p.m."
B.
"I will give myself two puffs at bedtime; that's when I really need it."
C.
"I will give myself a puff anytime I start to experience asthmatic symptoms."
D.
"I will give myself two puffs three times a day, at 7:00 a.m., noon, and bedtime."
Question #48
The nurse will prepare the patient for administration of tetrahydrozoline by performing which action?
A.
Gently pulling down on the lower eyelid
B.
Explaining that the injection will feel like a bee sting
C.
Telling patient to insert the applicator straight into the nostrils
D.
Asking the patient to turn the right ear toward the ceiling
Question #49
Which medication would the nurse recommend for the patient to take while experiencing an episode of epistaxis?
A.
Dobutamine
B.
Epinephrine
C.
Norepinephrine
D.
Oxymetazoline
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