Nokea
A client is prescribed metaraminol. The nurse demonstrates understanding of this drug, identifying that it can be administered by which route?
- A. Orally
- B. Subcutaneously
- C. Topically
- D. Intramuscularly
- E. Intravenously
Correct Answer: B,D,E
Rationale: Metaraminol, a sympathomimetic, can be administered subcutaneously, intramuscularly, or intravenously to achieve its vasoconstrictive effects.
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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.
A nurse is reviewing the different types of shock that may occur. The nurse demonstrates understanding of the information when the nurse identifies which of the following as a type of distributive shock?
- A. Cardiogenic-obstructive shock
- B. Septic shock
- C. Hypovolemic shock
- D. Anaphylactic shock
- E. Neurogenic shock
Correct Answer: B,D,E
Rationale: Distributive shock includes septic, anaphylactic, and neurogenic shock, characterized by widespread vasodilation and maldistribution of blood flow. Cardiogenic and hypovolemic shock are not distributive.
A nurse is monitoring the vital signs of a client who has received epinephrine. The nurse would report which of the following assessment findings?
- A. Systolic blood pressure below 100 mm Hg
- B. Temperature reading of 97.6°F
- C. Pulse rate of 60 beats/min
- D. A diastolic blood pressure of 75 mm Hg
Correct Answer: A
Rationale: A systolic blood pressure below 100 mm Hg indicates that epinephrine, which should raise blood pressure, is not effective and requires immediate reporting.
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.
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.