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The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release? A. Norepinephrine (Levophed) B. Dobutamine (Dobutrex) C. Propranolol (Inderal) $17.99
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The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release? A. Norepinephrine (Levophed) B. Dobutamine (Dobutrex) C. Propranolol (Inderal)
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Course
Nursing
Institution
Nursing
The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?
A. Norepinephrine (Levophed)
B. Dobutamine (Dobutrex)
C. Propranolol (Inderal)
D. Epinephrine (Adrenalin)
Correct A...
CHAMBERLAIN COLLEGE NCLEX EXAM QUESTIONS
2021-2023 DOWNLOAD TO SCORE GRADE … WITH
EXPLANATIONS VSU.Qualified
QUESTION 2
The nurse would need to monitor the serum glucose levels of a client receiving which of the
following medications, owing to its effects on glycogenolysis and insulin release?
A. Norepinephrine (Levophed)
B. Dobutamine (Dobutrex)
C. Propranolol (Inderal)
D. Epinephrine (Adrenalin)
Correct Answer: D
Section: Questions Set
AExplanation
Explanation/Reference:
Explanation:
(A) Norepinephrine’s side effects are primarily related to safe, effective care environment and
include decreased peripheral perfusion and bradycardia. (B) Dobutamine’s side effects include
increased heart rate and blood pressure, ventricular ectopy, nausea, and headache. (C)
Propranolol’s side effects includeelevated blood urea nitrogen, serum transaminase, alkaline
phosphatase, and lactic dehydrogenase. (D)Epinephrine increases serum glucose levels by
increasing glycogenolysis and inhibiting insulin release. Prolonged use can elevate serum lactate
levels, leading to metabolic acidosis, increased urinary catecholamines, false elevation of blood
urea nitrogen, and decreased coagulation time.
QUESTION 3
Which of the following medications requires close observation for bronchospasm in the client with
chronicobstructive pulmonary disease or asthma?
,CHAMBERLAIN COLLEGE NCLEX EXAM QUESTIONS
2021-2023 DOWNLOAD TO SCORE GRADE … WITH
EXPLANATIONS VSU.Qualified
A. Verapamil (Isoptin)
B. Amrinone (Inocor)
C. Epinephrine (Adrenalin)
D. Propranolol (Inderal)
Correct Answer: D
,CHAMBERLAIN COLLEGE NCLEX EXAM QUESTIONS
2021-2023 DOWNLOAD TO SCORE GRADE … WITH
EXPLANATIONS VSU.Qualified
Section: Questions Set
AExplanation
Explanation/Reference:
Explanation:
(A) Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness of
breath (SOB), and wheezing. (B) Amrinone has the effect of increased contractility and dilation
of the vascular smooth muscle. It has no noted respiratory side effects. (C) Epinephrine has the
effect of bronchodilation through β stimulation. (D) Propranolol, esmolol, and labetalol are all β-
blocking agents, which can increase airway resistance and cause bronchospasms.
QUESTION 4
The following medications were noted on review of the client’s home medication profile. Which of
themedications would most likely potentiate or elevate serum digoxin levels?
A. KCl
B. Thyroid agents
C. Quinidine
D. Theophylline
Correct Answer: C
Section: Questions Set
AExplanation
Explanation/Reference:
Explanation:
(A) Hypokalemia can cause digoxin toxicity. Administration of KCl would prevent this. (B)
Thyroid agents decrease digoxin levels. (C) Quinidine increases digoxin levels dramatically. (D)
Theophylline is not noted to have an effect on digoxin levels.
, CHAMBERLAIN COLLEGE NCLEX EXAM QUESTIONS
2021-2023 DOWNLOAD TO SCORE GRADE … WITH
EXPLANATIONS VSU.Qualified
QUESTION 5
In the client with a diagnosis of coronary artery disease, the nurse would anticipate the complication
of bradycardia with occlusion of which coronary artery?
A. Right coronary artery
B. Left main coronary artery
C. Circumflex coronary artery
D. Left anterior descending coronary artery
Correct Answer: A
Section: Questions Set
AExplanation
Explanation/Reference:
Explanation:
(A) Sinus bradycardia and atrioventricular (AV) heart block are usually a result of right coronary
artery occlusion. The right coronary artery perfuses the sinoatrial and AV nodes in mostindividuals.
(B) Occlusion of the left main coronary artery causes bundle branch blocks and premature
ventricular contractions. (C) Occlusion of the circumflex artery does not cause bradycardia. (D)
Sinus tachycardia occurs primarily with left anterior descending coronary artery occlusion because
this form of occlusion impairs left ventricular function.
QUESTION 6
When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to breathe.
This behavior is most indicative of:
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