A patient is started on a dobutamine infusion for the treatment of acute decompensated heart failure. The nurse should assess the patient for the major adverse effect of dobutamine therapy, which is what?
Supraventricular tachycardia
The nurse is reviewing drugs on the emergency cart with r...
A patient is started on a dobutamine infusion for the treatment of acute decompensated
m m m m m m m m m m m m m
heart failure. The nurse should assess the patient for the major adverse effect of dobutamine
m m m m m m m m m m m m m m m
therapy, which is what? - ANSWER: ➡ Supraventricular tachycardia
m m m m m m mm m m
The nurse is reviewing drugs on the emergency cart with regard to their therapeutic action.
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Which medications can help initiate heart contraction during a cardiac arrest? - ANSWER:
m m m m m m m m m m m m m m
➡ Intravenous epinephrine
m m m
The nurse in the cardiac care unit is caring for a patient receiving epinephrine. Which
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assessment criterion takes priority in the monitoring for adverse effects of this drug? -
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ANSWER: ➡ Cardiac rhythm
m mm m m
The nurse is teaching a patient with a history of anaphylaxis how to use an EpiPen. Which
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statement made by the patient indicates that he understands the proper use of this drug? -
m m m m m m m m m m m m m m m m
ANSWER: ➡ "I will jab this medication firmly into my outer thigh if needed."
m mm m m m m m m m m m m m m
The nurse is preparing to give terbutaline [Brethine] to prevent preterm labor. Which
m m m m m m m m m m m m
concepts are important to keep in mind when working with this drug? - ANSWER: ➡
m m m m m m m m m m m m m m mm
Terbutaline is a sympathomimetic drug
m m m m m
The patient may experience tremor with terbutaline.
m m m m m m m
The selectivity of terbutaline is dose dependent.
m m m m m m
The nurse is preparing to give epinephrine by the IV push route. Which actions are essential
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before giving this drug? - ANSWER: ➡ Assess the vital signs
m m m m m m mm m m m m
,Review the allergy history. m m m m
Assess the patency of the IV line.
m m m m m m
After an intramuscular injection of penicillin, a patient develops
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severe difficulty breathing and a swollen tongue. Which medication should the nurse
m m m m m m m m m m m
prepare to administer? - ANSWER: ➡ Epinephrine [Adrenalin]
m m m m m mm m m
A patient is receiving dopamine [Inotropin] for the treatment of shock. What would indicate
m m m m m m m m m m m m m
to the nurse that the medication is effective? - ANSWER: ➡ Increased urine output
m m m m m m m m m m mm m m m
The nurse cares for a patient with asthma who uses an albuterol (Ventolin) metered-dose
m m m m m m m m m m m m m
inhaler. The nurse is most concerned if the patient makes which of the following statements?
m m m m m m m m m m m m m m m
- ANSWER: ➡ "I can use the inhaler as often as needed."
m m mm m m m m m m m m m
causes vasoconstriction - ANSWER: ➡ Alpha 1
m m m mm m m
causes increased force of myocardial contraction - ANSWER: ➡ Beta 1
m m m m m m m mm m m
causes relief of severe pain - ANSWER: ➡ Alpha 2
m m m m m m mm m m
promotes bronchodilation - ANSWER: ➡ Beta 2 m m m mm m m
(T/F)
Catecholamines are inactivated before reaching systemic circulation if administered orally -
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ANSWER: ➡ True
m mm m
(T/F)
, Catecholamines cross the blood-brain barrier, activating the central nervous system -
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ANSWER: ➡ False
m mm m
(T/F)
Catecholamines include the drugs epinephrine, norepinephrine, isoproterenol, dopamine,
m m m m m m m
and dobutamine - ANSWER: ➡ True
m m m m mm m
(T/F)
Catecholamines are effective when administered by any parenteral route - ANSWER: ➡
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False
m
(T/F)
Catecholamines are polar molecules - ANSWER: ➡ True
m m m m m mm m
(T/F)
Catecholamines are destroyed by monoamine oxidase MAO and catechol-O-
m m m m m m m m
methyltransferase COMT enzymes in the liver and intestinal wall - ANSWER: ➡ True
m m m m m m m m m m mm m
Direct-acting adrenergic drugs mimic the action of what? - ANSWER: ➡ Dopamine
m m m m m m m m m mm m
Epinephrine
Norepinephrine
The nurse is caring for a patient who is receiving a dopamine intravenous IV drip. The nurse
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has been assess her patient's vital signs every 15 minutes. The nurse notes that since the last
m m m m m m m m m m m m m m m m m
assessment, the IV dopamine solution has turned pink. What should the nurse do? -
m m m m m m m m m m m m m m
ANSWER: ➡ Stop the infusion, notify the pharmacy for an immediate replacement, and
m mm m m m m m m m m m m m
assess the patient
m m m
Patients with which chronic diseases would be at most risk for adverse effects from
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adrenergic agonists? - ANSWER: ➡ Hypertension
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