Nokea
A nurse may be asked to administer adrenergic drugs to clients with which of the following conditions?
- A. Hypovolemic shock
- B. Respiratory distress
- C. Severe hypertension
- D. Allergic reactions
- E. Cardiac arrest
Correct Answer: A,B,D,E
Rationale: Adrenergic drugs are used to treat conditions like hypovolemic shock, respiratory distress, allergic reactions, and cardiac arrest by stimulating the sympathetic nervous system. They are contraindicated in severe hypertension.
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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.
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.
The nurse administers isoproterenol (Isuprel) to a client. Which of the following would most likely occur?
- A. Decreased heart rate
- B. Increased use of glucose
- C. Decreased gastric motility
- D. Constriction of coronary blood vessels
- E. Wakefulness
Correct Answer: B,C,E
Rationale: Isoproterenol stimulates beta receptors, leading to increased heart rate, increased glucose metabolism, decreased gastric motility, dilation of coronary blood vessels, and wakefulness.
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 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.