Nokea
A nurse is reviewing the effects of adrenergic drugs on the body. The nurse demonstrates understanding of this group of drugs by identifying that which of the following would occur if the drug stimulates beta-1 receptors?
- A. Vasoconstriction of peripheral blood vessels
- B. Decreased gastrointestinal tract secretions
- C. Increased force of myocardial contractions
- D. Bronchodilation
Correct Answer: C
Rationale: Beta-1 receptor stimulation increases heart rate and myocardial contractility, enhancing cardiac output.
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Before administering dobutamine to a client, the nurse should assess which of the following?
- A. Blood pressure
- B. Blood glucose
- C. Respiratory rate
- D. Pulse
- E. Level of consciousness
Correct Answer: A,C,D,E
Rationale: Dobutamine administration requires monitoring of blood pressure, respiratory rate, pulse, and level of consciousness to assess cardiovascular and neurological status.
After administering dobutamine to a client, the nurse would assess the client closely for which adverse reaction?
- A. Cardiac arrhythmias
- B. Urinary retention
- C. Elevated temperature
- D. Sleeplessness
Correct Answer: A
Rationale: Dobutamine commonly causes cardiac arrhythmias, such as bradycardia or tachycardia, due to its beta-adrenergic stimulation.
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.
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 is monitoring a client who is receiving dopamine. The nurse should be alert for which of the following adverse reactions?
- A. Headache
- B. Hypotension
- C. Cardiac arrhythmias
- D. Nausea
- E. Diarrhea
Correct Answer: A,C,D
Rationale: Dopamine, an adrenergic drug, can cause adverse reactions such as headache, cardiac arrhythmias, nausea, and hypertension, not hypotension or diarrhea.