Nokea
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.
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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.
After teaching a group of nursing students about adrenergic drugs and their effects, the instructor determines that the teaching was successful when the students identify which of the following as an effect of these drugs?
- A. Decreased myocardial contractility
- B. Vasodilation
- C. Increased cardiac output
- D. Improved airway clearance
Correct Answer: C
Rationale: Adrenergic drugs increase myocardial contractility and heart rate, leading to increased cardiac output.
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.
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 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.