Nokea
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.
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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.
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.
Which of the following is a condition that may result in distributive shock?
- A. Central line infection
- B. Acute myocardial infarction
- C. Congestive heart failure
- D. Spinal cord injury
- E. Allergic drug reaction
Correct Answer: A,D,E
Rationale: Central line infection, spinal cord injury, and allergic drug reactions can lead to distributive shock by causing vasodilation or maldistribution of blood flow.
A nurse is reviewing the different types of shock that may occur. The nurse demonstrates understanding of the information when the nurse identifies which of the following as a type of distributive shock?
- A. Cardiogenic-obstructive shock
- B. Septic shock
- C. Hypovolemic shock
- D. Anaphylactic shock
- E. Neurogenic shock
Correct Answer: B,D,E
Rationale: Distributive shock includes septic, anaphylactic, and neurogenic shock, characterized by widespread vasodilation and maldistribution of blood flow. Cardiogenic and hypovolemic shock are not distributive.
When describing the autonomic nervous system to a group of nursing students, the instructor determines that the teaching was successful when the students identify which body function as being controlled by this system?
- A. Heart rate
- B. Muscle movement
- C. Blood pressure
- D. Glandular secretions
- E. GI activity
Correct Answer: A,C,D,E
Rationale: The autonomic nervous system regulates involuntary functions such as heart rate, blood pressure, glandular secretions, and gastrointestinal (GI) activity. Muscle movement is primarily controlled by the somatic nervous system.