Nokea
A client has been administered dobutamine. The client is also receiving a beta-adrenergic blocking drug. The nurse would monitor the client for the development of which of the following resulting from the use of these two drugs?
- A. Bradycardia
- B. Hypertension
- C. Depression
- D. Dehydration
Correct Answer: B
Rationale: The combination of dobutamine and beta-blockers can lead to hypertension due to unopposed alpha-adrenergic effects when beta receptors are blocked.
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A nurse has administered dopamine to a client taking phenytoin (Dilantin) for a seizure disorder. The nurse would closely monitor the client for which adverse reaction?
- A. Hypotension
- B. Hypoglycemia
- C. Bradycardia
- D. Tachypnea
- E. Seizures
Correct Answer: A,C,E
Rationale: The combination of dopamine and phenytoin increases the risk of seizures, hypotension, and bradycardia due to potential drug interactions affecting cardiovascular and neurological systems.
A nurse is preparing to administer a sympathomimetic drug. Which of the following might the nurse be preparing to give?
- A. Clonidine (Catapres)
- B. Isoproterenol (Isuprel)
- C. Midodrine (ProAmatine)
- D. Epinephrine (EpiPen)
- E. Reserpine (Serpalan)
Correct Answer: B,C,D
Rationale: Sympathomimetic drugs mimic the effects of the sympathetic nervous system, such as increasing heart rate and blood pressure. Isoproterenol, midodrine, and epinephrine are examples, while clonidine and reserpine have different mechanisms.
Which of the following is a condition that may result in distributive shock?
- A. Central line infection
- B. Acute myocardial infarction
- C. Congestive heart failure
- D. Spinal cord injury
- E. Allergic drug reaction
Correct Answer: A,D,E
Rationale: Central line infection, spinal cord injury, and allergic drug reactions can lead to distributive shock by causing vasodilation or maldistribution of blood flow.
As part of the teaching plan for a client receiving midodrine, the nurse would instruct the client to report which of the following?
- A. Fine tremors
- B. Pounding headache
- C. Bradycardia
- D. Difficulty urinating
- E. Constipation
Correct Answer: B,C,D
Rationale: Midodrine can cause supine hypertension, bradycardia, and urinary difficulties, which should be reported to manage potential adverse effects.
Ma huang is an herbal product that has been used to relieve cold symptoms and for weight loss. The nurse would instruct a client receiving which of the following to avoid products containing ma huang?
- A. Digoxin (Lanoxin)
- B. Phenelzine (Nardil)
- C. Guanethidine (Ismelin)
- D. Oxytocin (Pitocin)
- E. Halothane (Avestan)
Correct Answer: A,B,C,D,E
Rationale: Ma huang, containing ephedrine-like compounds, can interact with digoxin, phenelzine, guanethidine, oxytocin, and halothane, leading to adverse cardiovascular or neurological effects.