Nokea
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.
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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.
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.
A client is prescribed norepinephrine IV. Which of the following would be appropriate for the nurse to do?
- A. Administer the drug via a gravity infusion.
- B. Dilute the drug with sterile saline.
- C. Continuously monitor the client's blood pressure.
- D. Check the IV insertion site for leakage.
- E. Assess the client's urinary output hourly.
Correct Answer: C,D,E
Rationale: Norepinephrine requires an infusion pump, continuous blood pressure monitoring, IV site checks for leakage, and hourly urinary output assessment to ensure proper administration and effect.
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.
A nurse is preparing to administer a sympathomimetic drug. Which of the following might the nurse be preparing to give?
- A. Clonidine (Catapres)
- B. Isoproterenol (Isuprel)
- C. Midodrine (ProAmatine)
- D. Epinephrine (EpiPen)
- E. Reserpine (Serpalan)
Correct Answer: B,C,D
Rationale: Sympathomimetic drugs mimic the effects of the sympathetic nervous system, such as increasing heart rate and blood pressure. Isoproterenol, midodrine, and epinephrine are examples, while clonidine and reserpine have different mechanisms.