WGU D116 Unit 3 OA Review Complete Study Questions And Answers
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Course
WGU D116
Institution
WGU D116
WGU D116 Unit 3 OA Review Complete Study Questions And Answers
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats per minute, a respiratory rate of 24 breaths per minute, and a blood pressure of 124/78 mm Hg. The prescriber orders a nonspecific beta-agonist medi...
WGU D116 Unit 3 OA Review Complete Study
Questions And Answers
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats per minute, a
respiratory rate of 24 breaths per minute, and a blood pressure of 124/78 mm Hg. The prescriber
orders a nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the nurse should monitor for
which side effect? ANS Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial smooth muscle-causes
bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including delirium and hallucinations.
Which medication should the provider administer? ANS Physostigmine
A patient brought to the emergency department requires sutures. The prescriber orders a local
anesthetic with epinephrine.
The epinephrine is ordered to ___________. ANS Allow a reduced dose of the anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1 agonist
A patient has been diagnosed with Parkinson disease (PD) and begins treatment with carbidopa. After
several months of therapy, the patient reports no change in symptoms.
As the provider, you should do which of the following? ANS Reevaluate the dx
There should be some therapeutic effects after several months of tx
, A patient who is taking oral contraceptives begins taking valproic acid for seizures. After a week of
therapy with valproic acid, the patient tells the nurse that she is experiencing nausea.
What should the nurse do? ANS Ask the pt is she is taking the med with food because taking the
drug on an empty stomach can cause gastrointestinal side effects
A patient with cerebral palsy who has been receiving baclofen via gastrostomy tube for three months
is admitted to the hospital for evaluation of new-onset seizures.
What might you suspect to be the cause of these seizures? ANS Missed doses of baclofen
Baclofen does not appear to cause physical dependence, but abrupt discontinuation has been
associated with adverse reactions
Abrupt withdrawal can cause visual hallucinations, paranoid ideation, and seizures
A nurse is preparing a patient to go home from the emergency department after receiving sutures for
a laceration on one hand. The provider used lidocaine with epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern? ANS Nervousness and tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed sumatriptan. Which aspect of this
patient's history is of concern when taking this drug? ANS CAD
Serotonin receptor agonists cause vasoconstriction and coronary vasospasm
A patient who has been taking a monoamine oxidase inhibitor (MAOI) for depression for several
months tells the provider that the medication has not helped with symptoms. You plan to switch the
patient to an SSRI.
What should you instruct the nurse to teach this patient? ANS "Stop taking the MAOI two weeks
before starting the SSRI"
MAOIs increase serotonin and can increase the risk for serotonin syndrome
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