Name: ANSWER KEYNSG 325Module 2 QuizSeptember 9, 20131) The nurse would be especially cautious when administering a nonselective blocker of alpha, beta, and beta2 receptors to patient with which chronic disorder(s)? (Select all that apply)a) Asthmab) Benign prostatic hyperplasia (BPH)c) Diabetes mellitusd) HIV infectionse) Rheumatoid arthritis2) A cholinergic (mimics the action of acetylcholine) drug would cause the heart rate to slow because the drug does what?a) Blocks receptors for acetylcholineb) Causes an increased release in acetylcholinec) Causes a decreased release in acetylcholined) Stimulates cardiac receptors for acetylcholine3) A patient with a blood pressure of 188/104 takes a potent vasodilating drug to lower the blood pressure. One hour after administration, the BP has dropped to 135/78 in response to the drug. Which additional assessment findings is an expected response to the rapid change in BP?a) Capillary refill 2 secondsb) Rubor when legs danglingc) Pulse increase of 20-30 beats/mind) Urine output increase of 15 mL/hr4) Doxazosin (Cardura), an alpha, adrenergic blocking drug is prescribed for a patient with Benign prostatic hyperplasia to promote urine flow and manage hypertension. A priority nursing concern for the patient is assessing for what?a) Cardiac output----bradycardiab) Safety-dizziness with position changesc) Skin---Poor skin turgord) Self-care---Weak hand grips5) The nurse is caring for a patient who has taken an overdose of a tricyclic antidepressant drug that has pronounced antimuscarinic properties. The nurse should prepare to do what? (Select all that apply.)a) Support breathingb) Administer atropinec) Administer drugs for hypotensiond) Administer phenothiazine antipsychotic drugs to treat deliriume) Administer physostigmine6) A patient will be receiving succinylcholine before electroconvulsive therapy. What is the nursing priority?a) Administering the succinylcholineb) Administering atropine if toxicity occursc) Performing the electroconvulsive therapyd) Preparing for possible respiratory arrest7) Direct acting adrenergic drugs mimic the action of what? (Select all that apply.)a) Acetylcholine (Ach)b) Dopaminec) Epinephrine (epi)d) Norepinephrine8) Phenylephrine (NeoSynephrine) is available OTC as a nasal decongestant. A patient states that she understands why the label says it should not be used if she has HTN but she does notunderstand why diabetics should not use it. The nurse’s response is based on knowledge the phenylephrine can cause what? (Select all that apply.)a) Anorexiab) Diaphoresisc) Hypoglycemia in the diabetic patient d) Hyperglycemia in the diabetic patient e) Tremor, which the patient may interpret as hypoglycemia9) The nurse is administering an IV dopamine infusion. The nurse assesses the large antecubital vein, notes that the site is swollen, cold, and extremely pale. What is the basis of the not nurse’s next action?a) A clot has formed and can break off and become an embolus.b) Extravasation of dopamine may have caused vasoconstriction and tissue necrosis.c) The nurse should infuse dopamine only through a central vein.d) The IV infusion must continue at this site until another IV is successfully started.10) What assessment findings would warrant withholding a beta-blocker and consulting the prescriber?a) Apical pulse 48 beats/minb) BP 110/70 c) 2+ ankle edemad) Blood sugar of 90
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