Nokea
The nurse is reviewing the medical records of several clients. The nurse integrates knowledge of the drug isoproterenol, understanding that this drug would be contraindicated in a client with which condition?
- A. Digitalis toxicity
- B. Type 2 diabetes
- C. Ventricular arrhythmias
- D. Angina pectoris
- E. Narrow-angle glaucoma
Correct Answer: A,C,D
Rationale: Isoproterenol is contraindicated in conditions like digitalis toxicity, ventricular arrhythmias, and angina pectoris due to its stimulatory effects on the heart, which could exacerbate these conditions.
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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.
While assessing a client, the nurse observes hives and flushing. The client reports itching and a tightness in the throat. The nurse would identify which of the following nursing diagnoses?
- A. Risk for Allergy Response
- B. Ineffective Tissue Perfusion
- C. Decreased Cardiac Output
- D. Risk for Injury
Correct Answer: A
Rationale: Hives, flushing, itching, and throat tightness indicate an allergic reaction, making Risk for Allergy Response the appropriate nursing diagnosis.
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.
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.
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.