NUR 231 Week 1 CH. 18 Practice Questions and Correct Answers
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Course
NUR 231
Institution
NUR 231
What is another name for an adrenergic drug? a. Anticholinergic drug b. Parasympathetic drug c. CNS drug d. sympathomimetic drug D
The nurse is administering an adrenergic drug and will monitor for which possible effect? a. Hypotension b. Tachycardia c. decreased respiratory rate d. diarrhea B
Th...
NUR 231 Week 1 CH. 18 Practice
Questions and Correct Answers
What is another name for an adrenergic drug?
a. Anticholinergic drug
b. Parasympathetic drug
c. CNS drug
d. sympathomimetic drug ✅D
The nurse is administering an adrenergic drug and will monitor for which possible
effect?
a. Hypotension
b. Tachycardia
c. decreased respiratory rate
d. diarrhea ✅B
The nurse is aware that adrenergic drugs may be used to treat which conditions?
(Select all that apply)
a. Asthma
b. Open-angle glaucoma
c. Hypertension
d. Nasal congestion
e. Seizures.
f. Nausea and vomiting ✅A, B, D
A woman who is allergic to bees has just been stung while out in her garden. She
reaches for her bee-sting kit, which would most likely contain which drug?
a. Epinephrine
b. Phenylephrine
c. Formoterol
d. Norepinephrine ✅A
A 13-year -old girl was diagnosed with asthma 2 years ago. Today her physician wants
to start her on salmeterol administered via inhaler. The nurse needs to remember to
include which statement when teaching the girl and her family about this drug?
a. "It should be taken at the first sign of an asthma attack."
b. "The dosage is two puffs every 4 hours or any time needed for asthma attacks."
c. "This inhaler is for prevention of asthma attacks, not for an acute attack."
d. "Be sure to take your steroid inhaler first." ✅C
Which instruction should the nurse provide to the patient taking salmeterol by inhaler?
a. Increase fluid intake.
b. Rinse mouth after use.
c. Monitor heart rate.
, d. Remain upright for 30 minutes. ✅B
The nurse is reviewing the medication orders of a newly admitted patient who has an
infusion of the adrenergic drug dopamine. Which of these drugs or drug classes if also
given to the patient, may cause an interaction? (Select all that apply)
a. Tricyclic antidepressants
b. MAOIs
c. Anticoagulants
d. Corticosteroids
e. Antihistamines ✅A, B, E
The nurse administering dopamine to the patient in cardiogenic shock after a MVA.
Which assessment finding indicates the dopamine is achieving its desired effect?
(Select all that apply)
a. Blood pressure of 90/60 mm Hg
b. Hyperactive bowel sounds.
c. Decreased in heart rate to 100 BPM
d. Presence of adventitious lung sounds.
e. Increase in urine output to 30 mL/hr ✅A, C, E
During pharmacology class, a nursing student asks about the use of beta 2 agonists in
pregnancy. The most appropriate response by the nursing faculty member would be
which of the following?
a. They lower blood pressure in pregnancy-induced hypertension.
b. They increase milk production during lactation.
c. They interrupt premature labor contractions.
d. They facilitate uterine involution. ✅C
The mother of 3-year old Kyle is giving him phenylephrine drops as a nasal
decongestant.
How does this medication help with nasal congestion?
Kyle's mother comes back to the clinic and complains that after 12 week, his congestion
is worse, not better. What possible explanation can the nurse offer? ✅The alpha-
adrenergic activity of this drug causes vasoconstriction in the nasal mucosa. This
produced shrinkage of the mucosa and promotes easier nasal breathing.
Perhaps she administered the spray too often. Excessive used of nasal decongestants
can lead to greater congestion because of a rebound phenomenon.
Mr. D, who has had a history of problems with a hormonal imbalance, has been
admitted for septic shock, and the physician prescribes dopamine. However, the nurse
double-checks the patient's history before administering the drug. What condition may
be a contraindication to dopamine? ✅Use of the drug is contraindicated in patients
who have a tumor that secretes catecholamines, such as a pheochromocytoma.
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