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NSG 318 Exam 2 Review Questions and Correct Answers
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Epinephrine classification Adrenergic agonist (sympathomimetic) Epinephrine Uses Anaphylaxis, anaphylactic shock, Bronchospasm, status asthmaticus, cardiogenic resuscitation, cardiac arrest Epinephrine Action Alpha 1- increases BP Beta 1- increases heart rate Beta 2- Promotes bronchodilation Epi...

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  • August 8, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nsg 318 exam 2 review questions and correct answer
  • epinephrine classification adrenergic agonist sy
  • epinephrine uses anaphylaxis anaphylactic shock

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NSG 318 Exam 2 Review Questions and
Correct Answers
Epinephrine classification ✅Adrenergic agonist (sympathomimetic)

Epinephrine Uses ✅Anaphylaxis, anaphylactic shock,
Bronchospasm, status asthmaticus, cardiogenic resuscitation, cardiac arrest

Epinephrine Action ✅Alpha 1- increases BP
Beta 1- increases heart rate
Beta 2- Promotes bronchodilation

Epinephrine Contraindications & Cautions ✅Cardiac dysrhythmias, hypertension,
hyperthyroidism, diabetes mellitus, pregnancy

Epinephrine side effects ✅Cardiac effects- palpitations, tachycardia, hypertension
Restlessness
Hyperglycemia

Epinephrine Adverse Reactions ✅palpitations, tachycardia, hypertension, dyspnea,
tissue necrosis at the IV site

Epinephrine Life threatening side effects ✅Ventricular fibrillation, pulmonary edema

Epinephrine drug interaction ✅Beta-blockers: Decreases epinephrine action
Digoxin- Causes cardiac dysrhythmias
Tricyclic antidepressants (TCA) & Monoamine Oxidase Inhibitors (MAOIs)

Epinephrine - Nursing process ✅Assessment: baseline VS, drug history, health
history, glucose level

Nursing diagnosis: -sleep pattern, disturbed related to the adverse drug effect of
insomnia
-Knowledge, deficient related to drug administration

Planning
- client's VS will be within acceptable ranges
- Client will experience therapeutic effects by improved BP, breathing pattern, and
cardiac output

Epinephrine - Nursing process (interventions) ✅Monitor IV site
Monitor VS & ECG

,Monitor urinary output & assess for bladder distension
Provide measures to avoid n/v
Monitor blood glucose in clients with DM

Epinephrine Patient Teaching ✅Read labels of OTC drugs
Teach about rebound nasal congestion w/ continuous use of nasal drops or sprays
Teach proper administration of EpiPen & when to use
Report side effects (rapid HR, palpitations, rash, itching, flushing, chest pain, irregular
heartbeat, vomiting or numbness of fingers and/or toes)

Albuterol Classification ✅beta 2 adrenergic agonist

Albuterol uses ✅Treatment of asthma, prophylactic treatment of asthma, treatment of
bronchospasms

Albuterol mode of action ✅Stimulates beta2-adrenergic receptors in the lungs -->
relaxes the bronchial muscle --> bronchodilation

Atenolol classification ✅Beta 1 Adrenergic Antagonist/ Blocker

Atenolol uses ✅Treatment of hypertension, angina, & prophylaxis & treatment of acute
MI

Atenolol mode of action ✅Selectively blocks Beta 1 adrenergic receptor sites;
decreases sympathetic outflow to the periphery, suppresses renin-angiotensin-
aldosterone system.

Bethanechol (Urecholine) classification ✅parasympathomimetic

Bethanechol (Urecholine) uses ✅To treat urinary retention and neurogenic bladder

Bethanechol (Urecholine) Mechanism of Action ✅Stimulates the cholinergic receptors -
> contraction of the bladder
Increases GI secretions & peristalsis, constriction of the pupil and bronchoconstriction

Bethanecol (Urecholine) Contraindications ✅Intestinal & urinary tract obstruction, IBS,
peptic ulcer
Severe bradycardia, hypotension, COPD, Parkinsonism, hyperthyroidism
Seizures, active asthma

Bethanecol (Urecholine) side effects ✅Blurred vision
GI effects- n/v, diarrhea
Urinary frequency & urgency
Bronchoconstriction

, Bethanecol (Urecholine) adverse effects ✅Weakness

Bethanecol (Urecholine) life threatening effects ✅Bronchospasm

Bethanecol (Urecholine) Assessment (3) ✅Assess baseline VS for future comparisons

Obtain patient history of health problems

Assess urine output

Bethanecol (Urecholine) nursing diagnosis (2) ✅Breathing pattern, ineffective related
to excess mucous secretions in lungs

Anxiety related to wheezing

Bethanechol (Urecholine) Planning ✅Patient will have increased bladder tone

Bethanecol (Urecholine) nursing interventions ✅Monitor BP & HR
Teach patient to rise slowly from a lying position
Auscultate breath sounds
Record fluid intake and output
Monitor the patient for possible cholinergic crisis (overdose)

Atropine sulfate classification ✅Anticholinergic

Atropine uses ✅Pre-operative med to reduce salivation, increase heart rate for
bradycardia, and dilate pupils for diagnostic exams

Atropine mode of action ✅inhibits acetylcholine by occupying receptors; increases
heart rate by blocking vagus stimulation; promotes pupil dilation by blocking iris
sphincter muscle

Atropine Contraindications ✅Glaucoma, obstructive GI disorders, ulcerative colitis,
Tachycardia, BPH, myasthenia gravis, myocardial ischemia

Atropine Use with caution ✅renal or hepatic disorders, COPD, heart failure

Atropine side effects ✅Dry mouth, constipation, dry skin
Blurred vision, photophobia, urinary retention

Atropine adverse effects ✅tachycardia, paradoxic bradycardia, hypertension,
hypotension, angina, pulmonary edema, seizures

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