Week 4 Sherpath Flashcards
Which cardiovascular effects would the nurse monitor for in a patient after the administration of epinephrine?
Select all that apply.
Increase in heart rate
Decrease in heart rate
Decrease in blood pressure
Peripheral vasoconstriction
Increase in systolic blood pressure
Increase in heart rate
Peripheral vasoconstriction
Increase in systolic blood pressure
When would the nurse anticipate onset of action of epinephrine when administered during cardiac arrest?
1 to 2 minutes
15 to 30 minutes
1 to 2 hours
4 to 6 hours
1 to 2 minutes
In which time frame will the effect of albuterol via inhalation occur?
5 to 15 minutes
90 minutes
2 to 6 hours
10 hours
5 to 15 minutes
Which information would the nurse provide to Alyssa and her parents about the use of an epinephrine autoinjector (EpiPen)?
Select all that apply.
“Take the medication as it is prescribed.”
“It is acceptable to use the EpiPen when the particles are pink to brown in color.”
“Keep an EpiPen available at all times, and store extra medication in a cool, dark place.”
“There is no need to notify the health care provider if the EpiPen is needed more than twice a week.”
“The EpiPen must be administered immediately upon the first occurrence of difficulty breathing, wheezing, hives, itching, hoarseness, or swelling of the lips and tongue.”
“Take the medication as it is prescribed.”
“Keep an EpiPen available at all times, and store extra medication in a cool, dark place.”
“The EpiPen must be administered immediately upon the first occurrence of difficulty breathing, wheezing, hives, itching, hoarseness, or swelling of the lips and tongue.”
Which laboratory values would the nurse review with the administration of epinephrine?
Select all that apply.
TSH
Sodium
Potassium
Hematocrit
Liver function
Renal function
Liver function
Renal function
The nurse would instruct the patient to complete which action after the self-injection of epinephrine?
Massage the site.
Clean the site with alcohol.
Cover the site with a dry dressing.
Perform a self-assessment for signs of infection.
Massage the site.
The nurse would educate the patient about which common side effect associated with albuterol?
Diarrhea
Chest pain
Nervousness
Neuropathic pain of the feet
Nervousness
Which drug mimics the effects of sympathetic nervous system (SNS) neurotransmitters?
Epinephrine
Atropine
Serotonin
Acetylcholine
Epinephrine
Which mechanism of albuterol reduces airway resistance?
Activation of dopamine receptors
Activation of beta2-mediated bronchodilators
Stimulation of beta1-mediated bronchodilators
Stimulation of gamma-aminobutyric acid (GABA) receptors within the respiratory system
Activation of beta2-mediated bronchodilators
Which phrase describes the primary use of albuterol for a patient with emphysema?
Prevent bronchospasm
Decrease fluid loss by decreasing respirations
Prevent the development of pneumonia
Increase the respiratory rate of the patient
Prevent bronchospasm
Which assessment data will the nurse collect before administering albuterol?
Select all that apply.
Pupillary response
Vital signs
Breath sounds
Skin assessment
Color of nail beds
Mucous membrane color
Vital signs
Breath sounds
Which assessment finding would be of greatest concern to the nurse after administration of epinephrine?
Blood pressure 150/90 mm Hg
Patient report of chest pain
Patient report of tremors
Blood glucose level 190 mg/dL
Patient report of chest pain
Which assessment findings indicate effectiveness of albuterol?
Select all that apply.
Increased heart rate
Clear breath sounds
Increased respiratory rate
Diminished breath sounds
Oxygen saturation 95%
Clear breath sounds
Oxygen saturation 95%
The nurse observes redness and irritation at the intravenous (IV) infusion site of a patient who received IV epinephrine. Why would the nurse be concerned about this finding?
Epinephrine can cause tissue necrosis.
Epinephrine can cause an allergic reaction.
Epinephrine absorption rate may be altered due to the redness.
The patient may have an infection at the infusion site that will prolong hospitalization.
Epinephrine can cause tissue necrosis.
Which side effect would the nurse monitor a patient for after administering albuterol via inhalation?
Increased heart rate
Increased respiratory rate
Decreased blood pressure
Decreased oxygen saturation
Increased heart rate
How would the nurse determine the effectiveness of albuterol therapy?
Auscultate the patient’s lung sounds.
Monitor the patient’s blood pressure.
Evaluate the patient’s ability to use the inhaler.
Measure the patient’s respiratory rate.
Auscultate the patient’s lung sounds.
The nurse is providing instructions for a patient with a new EpiPen. Which instruction would the nurse include when teaching a patient how to use an EpiPen?
Store the EpiPen in the refrigerator.
Hold the device in place for 5 to 10 seconds.
Administer the EpiPen at a 45-degree angle.
Avoid touching the site after the injection.
Hold the device in place for 5 to 10 seconds.