Exam (elaborations)
NRSG 106 Exam 1 Correct answers
- Course
- NRS 106
- Institution
- Rock Valley College
NRSG 106 Exam 1 Correct answers
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NRSG 106 Exam 1 Correct answersAfter teaching a group of students about beta-1 selective blockers, the instructor determines that the
teaching was successful when the students identify what as a contraindication to using this group of
drugs?
Sinus bradycardia
A client has received a dose of dopamine intravenously. The client's IV was infiltrated, and the dopamine
was injected into the subcutaneous tissues. Which medication will prevent the vasoconstriction and
tissue necrosis based on this action?
Phentolamine mesylate (Regitine)
After administering the oral form of labetalol to a patient, the nurse would monitor the patient for a
peak drug effect at which time?
1-2 hours
A client has been prescribed an adrenergic blocking drug for glaucoma. Which nursing interventions
should the nurse include when teaching the client?
Demonstrate the technique of eye drop instillation
A nurse is caring for a client in the critical care unit. Phentolamine (Regitine, OraVerse) has been ordered
for the management of tissue necrosis caused by extravasation of parenterally administered drugs.
Before administering this drug, the nurse will check the client's chart for indications of:
history of acute MI
A client has been prescribed labetalol. What assessment evaluates the effectiveness of the medication?
a decrease from baseline blood pressure
A client calls the cardiology office and reports fatigue and drowsiness since starting a new medication.
The nurse knows that which medications has these as common side effects?
carvedilol
A client has been prescribed the nonselective beta-adrenergic blocker, timolol for the treatment of open
angle glaucoma. What instructions should the nurse provide to assure the effectiveness of the
medication?
the proper method for instilling eye drops
, The student nurses are learning about drugs that act on the ANS. The students should learn that
adrenergic blocking agents prevent which neurotransmitters from being released and causing SNS
effects to be blocked?
Norepinephrine
A patient has a history of smoking. Which agent would the nurse most likely expect to be ordered?
atenolol
The nurse is providing medication education to a client prescribed an adrenergic blocker. Which nervous
system is the specific focus of this classification of medications?
sympathetic
A 71-year-old black woman with a history of diabetes for a follow-up appointment after visiting ED for
increased angina. As a beta2 receptor blockade has been prescribed to better control the chest pain,
what other teaching is very important about this pharmacological intervention?
Beta2 receptor blockade use results in less effective glucose metabolism, especially when accompanied
with anti-diabetic medications.
A male client diagnosed with bone cancer has an order for clonidine on his chart. The nurse is concerned
that this may be a mistake and asks another nurse why clonidine would be ordered for this client. What
would be an appropriate response from the second nurse?
"Clonidine is sometimes prescribed for severe pain in cancer clients like this client."
A patient is to receive metoprolol. What would the nurse include in the teaching plan for this patient?
"Take this drug with food to help promote its absorption."
A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to manage his hypertension.
The nurse would be sure to instruct the patient to:
understand the signs and symptoms of hypoglycemia
First-dose effect occurs when the client experiences marked hypotension and syncope with sudden loss
of consciousness with the first few doses of the sympatholytic. Which intervention might be helpful for
the nurse to do to decrease the risk for first-dose effect?
administer the dose at bedtime
A client has recently been prescribed a drug that treats hypertension by blocking the sympathetic
receptors in the sympathetic nervous system. This action is characteristic of which?
an adrenergic antagonist
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