Nokea
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.
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A nurse is caring for an older adult client who is prescribed isoproterenol. After administering the drug, the nurse would immediately report which of the following changes to the primary health care provider?
- A. Blood glucose level
- B. Appetite
- C. Temperature
- D. Pulse rate
Correct Answer: D
Rationale: Isoproterenol's cardiac stimulatory effects require immediate reporting of changes in pulse rate or rhythm to prevent complications like arrhythmias.
While assessing a client, the nurse observes hives and flushing. The client reports itching and a tightness in the throat. The nurse would identify which of the following nursing diagnoses?
- A. Risk for Allergy Response
- B. Ineffective Tissue Perfusion
- C. Decreased Cardiac Output
- D. Risk for Injury
Correct Answer: A
Rationale: Hives, flushing, itching, and throat tightness indicate an allergic reaction, making Risk for Allergy Response the appropriate nursing diagnosis.
A client is to receive midodrine. Which of the following would the nurse include in the plan of care to ensure that the client doesn't develop supine hypertension?
- A. Administer midodrine during the day.
- B. Ensure that the client is lying in a supine position.
- C. Instruct the client to regularly shift positions.
- D. Assist the client when moving out of bed.
Correct Answer: A
Rationale: Administering midodrine during the day reduces the risk of supine hypertension, which is more likely when the client is lying down for extended periods.
After teaching a group of nursing students about adrenergic drugs and their effects, the instructor determines that the teaching was successful when the students identify which of the following as an effect of these drugs?
- A. Decreased myocardial contractility
- B. Vasodilation
- C. Increased cardiac output
- D. Improved airway clearance
Correct Answer: C
Rationale: Adrenergic drugs increase myocardial contractility and heart rate, leading to increased cardiac output.
A nurse is teaching a client how to use an auto-injector as treatment for an allergic reaction. Which statement by the client indicates the need for additional teaching?
- A. I should not touch the orange or black tip on the small end.
- B. I should administer the dose and then call 9-1-1 if I'm alone.
- C. I should inject the black tip into my outer thigh.
- D. I need to massage the site after removing the device.
Correct Answer: B
Rationale: In an emergency, the client should call 9-1-1 before administering the auto-injector to ensure prompt medical assistance.