NUR 378 Exam 3 Questions and Correct
Answers
Describe the effects of beta 2 stimulators (albuterol). ✅bronchodialation, uterine
relaxation, liver glycogenolysis (sugar up), vasodialte
Explain the effects of cholinergic medications ✅Increased reflexes, increased
peristalsis, increased gland secretions, parasyth nervous system
Dry mouth, blurred vision,
Used for: Alzhiemers, MG, Urine retention
Identify the signs of and the drug used for anaphylactic shock ✅Wheezing, other
allergic symptoms, epinephrine (epi-pen)
Explain the consequences of using too much albuterol, and associated patient teaching
needed ✅tachycardia, shaking etc
Use as needed 1 min between puff
Identify the most serious side effect with alpha1-adrenergic receptor blockers. ✅inhibit
smooth muscle contraction (blood vessels)- Orthostat hypotension
List the contraindications for administering beta blockers. ✅sinus bradycardia/heart
block, DM, asthma
Describe the nursing interventions for the side effects of alpha2-adrenergic agonists,
such as clonidine (treats HBP) ✅Take at bedtime (sedation), chew gum for dry mouth,
don't drive
Identify the drug classes that decrease systemic vascular resistance. ✅beta blockers,
A 1 adrenergic agonist, ACE inhib, vasodilators, epinephrine, dobutamine
Describe the effects of beta 2 adrenergic stimulators. ✅Bronchodilation
Identify the drug of choice for bradycardia treatment. ✅Atropine (anticholinergic)
blocks PNS messages to SA node
Define cross tolerance, physical dependence, and tolerance, addiction ✅Cross
tolerance - tolerance to one drug from another,
Explain why a patient's health history is important when administering medication. Give
an example using Propofol (gen anesthetic). ✅History of compromised cardiac
function
, Discuss the nursing implications (including patient teaching for levodopa/carbidopa.
✅dont take with high protein
Identify patient teaching principles for those on CNS drugs. ✅side effects with
decrease
Describe the effects of dopamine agonists on a patient. ✅activates the dopamine
receptors, help with dyskinesia/tremors etc from Parkinsons take weeks to months to
work
Explain the mechanism of action for Donepezil and its effects on patients. ✅Prevents
breakdown of ACH, nausea voming diarrhea, dizzy headache
Identify the priority nursing implications for patients taking anti-seizure medication.
✅do not stop abruptly, check with provider before changing dosage, take with meals
Describe the mechanism of action for Baclofen and its effects on patients. ✅treats
muscle spasms by suppressing hyperactive spinal cord reflexes
Explain the side effects of spinal anesthesia and associated nursing interventions
✅watch for hypotension, place in 10-15 degree head down position.
Discuss how to counter act the negative effects of opioid medications. ✅Naloxone
Describe how to assess the effectiveness of Sumatriptan. ✅headache gone
Explain the patient teaching needed for patients taking propranolol. ✅beta blocker,
reduces migranes
orthostat hypotension, fatigue, depression,
List the medications for Schizophrenia, which negatively affect glucose levels.
✅clozapine
Identify key teaching concepts for patients taking anti-depressants. ✅risk of suicide,
response devleops slowly, don't stop abruptly
Identify the foods which negatively interact with MAOI's. ✅Tyramine- aged cheese,
alcohol, foods high in preservatives
List the labs affected by Lithium. ✅renal + metabolic panel
Describe the nursing interventions for an overdose of alprazolam. ✅Flumazenil
