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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$17.99
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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
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Course
Nursing
Institution
Nursing
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)
...
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?
(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.
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