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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.
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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.
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.
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.
A nurse is preparing to administer a prescribed adrenergic agent to a client who is in shock. Before administering the drug, the nurse would assess for and document which of the following as a sign of shock?
- A. Increased temperature
- B. Reddish/pinkish skin
- C. Dry, dehydrated skin
- D. Changes in consciousness
Correct Answer: D
Rationale: Changes in consciousness are a key sign of shock, indicating inadequate cerebral perfusion, and should be documented before administering adrenergic drugs.
A nurse is caring for a client who has recently suffered an acute myocardial infarction. The nurse would closely monitor this client for which of the following that would suggest that the client is developing shock?
- A. Increased blood pressure
- B. Decreased urinary output
- C. Hypoxia
- D. Tachypnea
- E. Bradycardia
Correct Answer: B,C,D
Rationale: Signs of shock include decreased urinary output, hypoxia, and tachypnea due to inadequate tissue perfusion. Increased blood pressure and bradycardia are not typical signs of shock.